Dr Spencer Stephen Seballos, MD in Cleveland, OH

Dr Spencer Stephen Seballos, MD is a medicare enrolled "Emergency Medicine" physician in Cleveland, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2022 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Colorado Permanente Medical Group Pc, University Physicians Incorporated and his current practice location is 9500 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 245-9132.

Dr Spencer Stephen Seballos is licensed to practice in Ohio (license number 35.155137) 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 1376292987.

Contact Information

	Dr Spencer Stephen Seballos, MD
	9500 Euclid Ave, Cleveland, OH 44195-0001
	(216) 245-9132
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Spencer Stephen Seballos
Gender	Male
Speciality	Emergency Medicine
Experience	4 Years
Location	9500 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Yes. 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 Spencer Stephen Seballos attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2022

NPI Data:

NPI Number: 1376292987
Provider Enumeration Date: 03/21/2022
Last Update Date: 06/28/2026

Medicare PECOS Information:

PECOS PAC ID: 4183143951
Enrollment ID: I20250523002330

Medical Identifiers

Medical identifiers for Dr Spencer Stephen Seballos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376292987	NPI	-	NPPES
029733	Other	CO	KAISER COMMERCIAL NUMBER
9000220106	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35.155137 (Ohio)	Primary
207P00000X	Emergency Medicine	DR.0074817 (Colorado)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Permanente Medical Group Pc	1254238454	1325
University Physicians Incorporated	3476465667	3140

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 Spencer Stephen Seballos allows following entities to bill medicare on his behalf.

Entity Name	University Physicians Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375

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 Spencer Stephen Seballos 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
Dr Spencer Stephen Seballos, MD 9500 Euclid Ave # E19, Cleveland, OH 44195-0001 Ph: (216) 245-9132	Dr Spencer Stephen Seballos, MD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 245-9132

Reviews and Comments

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Dr Spencer Stephen Seballos, MD - Medicare Emergency Medicine in Cleveland, OH