Spencer Roark, DDS is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" provider in Nashville, Tennessee. His current practice location is
3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 322-5000.
Spencer Roark is licensed to practice in Tennessee (license number 12728) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023694460.
Healthcare Provider's Profile
Full Name | Spencer Roark |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023694460
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911443445
- Enrollment ID: I20240722000170
Medical Identifiers
Medical identifiers for Spencer Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023694460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019.033438 (Illinois) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 12728 (Tennessee) | 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 Roark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Spencer Roark, DDS 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Spencer Roark, DDS 3601 The Vanderbilt Clinic, Nashville, TN 37232-1443 Ph: (615) 322-5000 |
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