Mr Keith Ig Spooner, MD is a
Obstetrics & Gynecology physician based in Cleveland, Texas. Mr Keith Ig Spooner is licensed to practice in Texas (license number G2229) and his current practice location is 117 S William Barnett Ave, Suite A, Cleveland, Texas. He can be reached at his office (for appointments etc.) via phone at
(281) 593-1660.
NPI number for Mr Keith Ig Spooner is 1821171166 and his current mailing address is 108 S William Barnett Ave, Suite A, Cleveland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821171166.
Physician's Profile
| Full Name | Mr Keith Ig Spooner |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
|---|
| Location | 117 S William Barnett Ave, Cleveland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821171166
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 06/27/2011
Medical Identifiers
Medical identifiers for Mr Keith Ig Spooner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821171166 | NPI | - | NPPES |
| 0948168 | Other | TX | AETNA |
| 76-0309941 | Other | TX | UNITED HEALTHCARE |
| 8A6479 | Other | TX | BLUE CROSS BLUE SHEILD |
| 159830201 | Medicaid | TX | |
| 63701476 | Other | TX | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | G2229 (Texas) | 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. Mr Keith Ig Spooner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Keith Ig Spooner, MD
108 S William Barnett Ave, Suite A,
Cleveland, TX 77327-4542
Ph: (281) 659-2355 | Mr Keith Ig Spooner, MD
117 S William Barnett Ave, Suite A,
Cleveland, TX 77327-4542
Ph: (281) 593-1660 |
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