| Ariel Spencer, MD | |
|
207 N Townline Rd Ste 101, Lagrange, IN 46761-1325 | |
| (260) 463-9316 | |
| (260) 463-9334 |
| Full Name | Ariel Spencer |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 207 N Townline Rd Ste 101, Lagrange, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144437518 | NPI | - | NPPES |
| MD 47599 | Other | TN | TN MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD 47599 (Tennessee) | Secondary |
| 208600000X | Surgery | 01066930A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel Spencer, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Ariel Spencer, MD 207 N Townline Rd Ste 101, Lagrange, IN 46761-1325 Ph: (260) 463-9316 |
Brett J. Guinn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 207 N Townline Rd Ste 101, Lagrange, IN 46761 Phone: 260-463-9335 Fax: 260-463-9334 | |
Timothy A Jessie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 207 N Townline Rd Ste 101, Lagrange, IN 46761 Phone: 260-463-9335 Fax: 260-463-9334 |