| Jacob Spencer, DO | |
|
36953 Cook St Ste 101, Palm Desert, CA 92211-6083 | |
| (760) 797-7540 | |
| (760) 797-7542 |
| Full Name | Jacob Spencer |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 36953 Cook St Ste 101, Palm Desert, California |
| 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 |
|---|---|---|---|
| 1346565793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 20A13120 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jacob A Spencer Do Inc | 7416320882 | 2 |
| Entity Name | Star Orthopaedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831364975 PECOS PAC ID: 4587722020 Enrollment ID: O20081028000060 |
| Entity Name | Jacob A Spencer Do Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558005355 PECOS PAC ID: 7416320882 Enrollment ID: O20230306001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Spencer, DO 36953 Cook St Ste 101, Palm Desert, CA 92211-6083 Ph: (760) 797-7540 | Jacob Spencer, DO 36953 Cook St Ste 101, Palm Desert, CA 92211-6083 Ph: (760) 797-7540 |
Dr. Steven S. Fountain, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 74990 Country Club Dr, Palm Desert, CA 92260 Phone: 760-341-8800 | |
Sohail S Ahmad, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 36915 Cook St, Ste 103, Palm Desert, CA 92211 Phone: 760-340-1003 Fax: 760-340-4844 | |
Dr. Eric L Freedman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 36951 Cook Street, Ste 102, Palm Desert, CA 92211 Phone: 760-342-8444 Fax: 760-342-8544 | |
Ms. Annette Marie Smith, M.D., M.A. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 44419 Town Center Way Ste E, Palm Desert, CA 92260 Phone: 760-469-9843 Fax: 760-469-9845 |