Nicole Marie Spencer, MD in Coon Rapids, MN - Medicare Obstetrics & Gynecology

Nicole Marie Spencer, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Coon Rapids, Minnesota. Her current practice location is 11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 712-2100.

Nicole Marie Spencer is licensed to practice in Minnesota (license number 80221) 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 1760973176.

Contact Information

	Nicole Marie Spencer, MD
	11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774
	(763) 712-2100
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Marie Spencer
Gender	Female
Speciality	Obstetrics & Gynecology - Gynecologic Oncology
Location	11850 Blackfoot St Nw Ste 100, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760973176
Provider Enumeration Date: 05/21/2018
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 3476941261
Enrollment ID: I20220711002737

Medical Identifiers

Medical identifiers for Nicole Marie Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760973176	NPI	-	NPPES
1760973176	Medicaid	TX
1760973176	Other	TX	CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	T7051 (Texas)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	80221 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Spencer allows following entities to bill medicare on her behalf.

Entity Name	The University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

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. Nicole Marie 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
Nicole Marie Spencer, MD 2550 University Ave W, Saint Paul, MN 55114-1052 Ph: (651) 602-5335	Nicole Marie Spencer, MD 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 Ph: (763) 712-2100

Reviews and Comments

Obstetrics & Gynecology Doctors in Coon Rapids, MN

Nancy M Dickerson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite101, Coon Rapids, MN 55433 Phone: 763-236-9236
Laura Mayer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130
Dr. Seth A Myles, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11475 Robinson Drive Nw, Healthpartners Coon Rapids Clinic, Coon Rapids, MN 55433 Phone: 763-587-9000 Fax: 763-587-9130
Kelsey Amelia Bertelsen, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11475 Robinson Dr Nw, Ms 32600a, Coon Rapids, MN 55433 Phone: 763-587-9000
Malinda K Johnson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433 Phone: 763-236-9236
Bryan T Hotujec, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-9236 Fax: 763-684-6006
Sarah Beth Schoel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433 Phone: 763-236-9236

Nicole Marie Spencer, MD - Medicare Obstetrics & Gynecology in Coon Rapids, MN