| James Blake Spencer, | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| (816) 781-6973 |
| Full Name | James Blake Spencer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
| 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 |
|---|---|---|---|
| 1194998021 | NPI | - | NPPES |
| 200018049 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2010021700 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Cameron Regional Medical Center | Cameron, MO | Hospital |
| Hedrick Medical Center | Chillicothe, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Liberty Hospital Corporation | 9931166618 | 113 |
| Entity Name | New Liberty Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669734661 PECOS PAC ID: 9931166618 Enrollment ID: O20120918000321 |
| Mailing Address | Practice Location Address |
|---|---|
| James Blake Spencer, Po Box 219672, Kansas City, MO 64121-9672 Ph: (816) 781-7730 | James Blake Spencer, 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Dr. Jacob Seils, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Gussie Shemwell, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Hajra Nadeem, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 |