Ellen Spencer, is a medicare enrolled "Physician Assistant" physician in Salisbury, North Carolina. Her current practice location is
330 Jake Alexander Blvd W # 102103, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 519-2366.
Ellen Spencer is licensed to practice in North Carolina (license number 0010-14226) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417647843.
Physician's Profile
Full Name | Ellen Spencer |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 330 Jake Alexander Blvd W # 102103, Salisbury, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417647843
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729503883
- Enrollment ID: I20250422000706
Medical Identifiers
Medical identifiers for Ellen Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417647843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0010-14226 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-14226 (North Carolina) | Primary |
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. Ellen Spencer 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 |
Ellen Spencer, 330 Jake Alexander Blvd W Ste 103, Salisbury, NC 28147-1385 Ph: (704) 519-2366 | Ellen Spencer, 330 Jake Alexander Blvd W # 102103, Salisbury, NC 28147-1384 Ph: (704) 519-2366 |
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