| Dr Michael P Spencer, MD | |
|
6363 France Ave S Ste 400, Edina, MN 55435-2142 | |
| (651) 312-1700 | |
| (952) 920-4148 |
| Full Name | Dr Michael P Spencer |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 41 Years |
| Location | 6363 France Ave S Ste 400, Edina, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386653947 | NPI | - | NPPES |
| 306590100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 30322 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| M Health Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Oncology Hematology Pa | 6709799752 | 131 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Minnesota Oncology Hematology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Hennepin Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael P Spencer, MD 2550 University Ave W Ste 110n, Saint Paul, MN 55114-8693 Ph: (651) 602-5312 | Dr Michael P Spencer, MD 6363 France Ave S Ste 400, Edina, MN 55435-2142 Ph: (651) 312-1700 |