Seth Cannon Spencer, MD is a
Pediatrics physician based in Lake Park, North Carolina. Seth Cannon Spencer is licensed to practice in North Carolina (license number 2025-00002) and his current practice location is 3800 Meeting St, Lake Park, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(980) 987-3991.
NPI number for Seth Cannon Spencer is 1710505060 and his current mailing address is 3800 Meeting St, Indian Trail, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710505060.
Physician's Profile
| Full Name | Seth Cannon Spencer |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 3800 Meeting St, Lake Park, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710505060
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 08/21/2025
Medical Identifiers
Medical identifiers for Seth Cannon Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710505060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 2025-00002 (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. Seth Cannon Spencer 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 |
Seth Cannon Spencer, MD 3800 Meeting St, Indian Trail, NC 28079-6582 Ph: (980) 987-3991 | Seth Cannon Spencer, MD 3800 Meeting St, Lake Park, NC 28079-6582 Ph: (980) 987-3991 |
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