| Dr Spencer Andersen, DO | |
|
501 N Navajo Dr, Page, AZ 86040 | |
| (801) 885-2489 | |
| Not Available |
| Full Name | Dr Spencer Andersen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 501 N Navajo Dr, Page, Arizona |
| 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 |
|---|---|---|---|
| 1295130961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 007986 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Page Hospital | Page, AZ | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Page Hospital | 5496665861 | 5 |
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Entity Name | Page Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578515789 PECOS PAC ID: 5496665861 Enrollment ID: O20031218000179 |
| Entity Name | Page Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578515789 PECOS PAC ID: 5496665861 Enrollment ID: O20110328000098 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Andersen, DO 501 N Navajo Dr, Page, AZ 86040-0959 Ph: (801) 885-2489 | Dr Spencer Andersen, DO 501 N Navajo Dr, Page, AZ 86040 Ph: (801) 885-2489 |
Julie A Lindholm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 North Navajo Drive, Page, AZ 86040 Phone: 928-645-2424 Fax: 928-645-0106 | |
Ronald L Christ, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 N. Navajo, Page, AZ 86040 Phone: 928-645-0131 Fax: 928-645-3549 |