Dr Scott Spicer, MD is a medicare enrolled "Pediatrics" physician in Gouverneur, New York. He went to State University Of Ny Upstate Medical University and graduated in 2005 and has 21 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is
77 W Barney St, Gouverneur, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 287-4440.
Dr Scott Spicer is licensed to practice in New York (license number 250464) 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 1265690556.
Physician's Profile
| Full Name | Dr Scott Spicer |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 21 Years |
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| Location | 77 W Barney St, Gouverneur, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Scott Spicer attended and graduated from State University Of Ny Upstate Medical University in 2005
NPI Data:
- NPI Number: 1265690556
- Provider Enumeration Date: 05/23/2008
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406135797
- Enrollment ID: I20250415000582
Medical Identifiers
Medical identifiers for Dr Scott Spicer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265690556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 042.0013605 (Vermont) | Secondary |
| 208000000X | Pediatrics | 250464 (New York) | Primary |
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 Scott Spicer allows following entities to bill medicare on his behalf.
| Entity Name | United Cerebral Palsy Association Of The North Country Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467432765
PECOS PAC ID: 8729078001
Enrollment ID: O20040518000102 |
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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 Scott 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 Address | Practice Location Address |
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Dr Scott Spicer, MD
4 Commerce Ln,
Canton, NY 13617-3739
Ph: (315) 386-8191 | Dr Scott Spicer, MD
77 W Barney St,
Gouverneur, NY 13642-1040
Ph: (315) 287-4440 |
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