Dr Paul James Spicer, MD - Medicare Diagnostic Radiology in Lexington, KY

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Dr Paul James Spicer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lexington, Kentucky. He went to Meharry Medical College School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Baptist Health Medical Group Inc and his current practice location is University Of Kentucky, 800 Rose Street, Hx-311, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-8570.

Dr Paul James Spicer is licensed to practice in Kentucky (license number 44180) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063655660.

Contact Information

Dr Paul James Spicer, MD
University Of Kentucky, 800 Rose Street, Hx-311,
Lexington, KY 40536-0001
(859) 323-8570
Not Available

Map and Direction




Physician's Profile

Full NameDr Paul James Spicer
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
LocationUniversity Of Kentucky, Lexington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul James Spicer attended and graduated from Meharry Medical College School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1063655660
  • Provider Enumeration Date: 04/13/2009
  • Last Update Date: 07/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0143373845
  • Enrollment ID: I20110510000675

Medical Identifiers

Medical identifiers for Dr Paul James Spicer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063655660NPI-NPPES
7100147120MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301094401 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 44180 (Kentucky)Primary
2085B0100XRadiology - Body Imaging 44180 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health LagrangeLa grange, KYHospital
Baptist Health LexingtonLexington, KYHospital
Baptist Health CorbinCorbin, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Medical Group Inc55978671842132

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Paul James Spicer allows following entities to bill medicare on his behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740586213
PECOS PAC ID: 5597867184
Enrollment ID: O20070228000503
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518360296
PECOS PAC ID: 5597867184
Enrollment ID: O20150206000249

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. Dr Paul James Spicer 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 AddressPractice Location Address
Dr Paul James Spicer, MD
800 Rose St # Hx311c,
Lexington, KY 40536-0293

Ph: (859) 323-2954		Dr Paul James Spicer, MD
University Of Kentucky, 800 Rose Street, Hx-311,
Lexington, KY 40536-0001

Ph: (859) 323-8570

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.