Dr Victoria Oluwaseun Spencer, MD | |
4500 Memorial Dr, Belleville, IL 62226-5360 | |
(618) 257-6220 | |
(618) 257-6679 |
Full Name | Dr Victoria Oluwaseun Spencer |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 4500 Memorial Dr, Belleville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093009748 | NPI | - | NPPES |
Q8646 | Other | TX | TEXAS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Q8646 (Texas) | Secondary |
208M00000X | Hospitalist | 036147766 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01086884A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital | Saint petersburg, FL | Hospital |
St Petersburg General Hospital | Saint petersburg, FL | Hospital |
Morton Plant Hospital | Clearwater, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Live Better Health Center Llc | 3870744808 | 2 |
Entity Name | Live Better Health Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669757738 PECOS PAC ID: 3870744808 Enrollment ID: O20121121000188 |
Mailing Address | Practice Location Address |
---|---|
Dr Victoria Oluwaseun Spencer, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr Victoria Oluwaseun Spencer, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 |
Wallace K Abel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220 Phone: 618-234-2566 Fax: 618-234-5650 | |
Dr. Shannon Erin Witty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220 Phone: 618-233-7880 | |
Naveen Kumar Reddy Bondalapati, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-257-6679 | |
David J Nyquist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Niraj J Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7000 | |
Brett Allen Nance, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220 Phone: 618-233-7880 Fax: 618-222-4792 |