Spencer Lee Coleman, is a
Student In An Organized Health Care Education/training Program based in Las Vegas, Nevada. Spencer Lee Coleman is licensed to practice in Nevada (license number ) and his current practice location is
1700 W Charleston Blvd, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 774-2690.
NPI number for Spencer Lee Coleman is 1487441226 and his current mailing address is 1700 W Charleston Blvd, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487441226.
Healthcare Provider's Profile
| Full Name | Spencer Lee Coleman |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1700 W Charleston Blvd, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487441226
- Provider Enumeration Date: 04/24/2025
- Last Update Date: 07/21/2025
Medical Identifiers
Medical identifiers for Spencer Lee Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487441226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8181 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spencer Lee Coleman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Spencer Lee Coleman,
1700 W Charleston Blvd,
Las Vegas, NV 89102-2335
Ph: (702) 774-2690 | Spencer Lee Coleman,
1700 W Charleston Blvd,
Las Vegas, NV 89102-2335
Ph: (702) 774-2690 |
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