Spencer Clark, - Medicare Diagnostic Radiology in Phoenix, AZ

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Spencer Clark, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Banner Imaging Services Llc, Sonoran Radiology Ltd and his current practice location is 2323 W Rose Garden Ln, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 521-6200.

Spencer Clark is licensed to practice in Arizona (license number 008044) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033557269.

Contact Information

Spencer Clark,
2323 W Rose Garden Ln,
Phoenix, AZ 85027-2530
(602) 521-6200
(623) 842-5640

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Physician's Profile

Full NameSpencer Clark
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location2323 W Rose Garden Ln, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Spencer Clark graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1033557269
  • Provider Enumeration Date: 06/10/2013
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507163987
  • Enrollment ID: I20190730000704

Medical Identifiers

Medical identifiers for Spencer Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033557269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 008044 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Desert Medical CenterMesa, AZHospital
Banner Baywood Medical CenterMesa, AZHospital
Banner Ironwood Medical CenterQueen creek, AZHospital
Banner Heart HospitalMesa, AZHospital
Banner Casa Grande Medical CenterCasa grande, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Imaging Services Llc185072438690
Sonoran Radiology Ltd3375964505367

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. Spencer Clark allows following entities to bill medicare on his behalf.
Entity NameSouthwest Diagnostic Imaging Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294
Entity NameAssociated Valley Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932683257
PECOS PAC ID: 8325388499
Enrollment ID: O20190327003225
Entity NameBanner Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770139958
PECOS PAC ID: 1850724386
Enrollment ID: O20191213001312
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412

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. Spencer Clark 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 AddressPractice Location Address
Spencer Clark,
13333 Northwest Fwy Ste 540,
Houston, TX 77040-6166

Ph: (832) 413-5302		Spencer Clark,
2323 W Rose Garden Ln,
Phoenix, AZ 85027-2530

Ph: (602) 521-6200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.