| Dr Suzanne Glover Spicer, MD | |
|
426 22nd Ave E, Springfield, TN 37172-3711 | |
| (615) 384-0600 | |
| Not Available |
| Full Name | Dr Suzanne Glover Spicer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 426 22nd Ave E, Springfield, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790901049 | NPI | - | NPPES |
| 5H781 | Other | AR BCBS | |
| 1527873 | Medicaid | TN | |
| 182595001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD0000046032 (Tennessee) | Primary |
| Entity Name | Vip Midsouth, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487737912 PECOS PAC ID: 1759272982 Enrollment ID: O20040324001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzanne Glover Spicer, MD 648 Hartsville Pike, Gallatin, TN 37066-2523 Ph: (615) 451-9246 | Dr Suzanne Glover Spicer, MD 426 22nd Ave E, Springfield, TN 37172-3711 Ph: (615) 384-0600 |
Dr. Anjeli Kumari Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 Fax: 615-384-0645 | |
Dr. Hannah Byrd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-322-5000 | |
Dr. Jennifer Singleton Ashworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 Fax: 615-384-0645 | |
Marlon Lavell Shell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 Fax: 615-384-0645 | |
Dr. Miranda Raines Butler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-451-9246 | |
Erika L Crawford, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 |