Spencer Hart, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jonesboro, Arkansas. His current practice location is
311 E Matthews Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 972-0063.
Spencer Hart is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609512193.
Physician's Profile
Full Name | Spencer Hart |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 311 E Matthews Ave, Jonesboro, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609512193
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385029115
- Enrollment ID: I20240307000316
Medical Identifiers
Medical identifiers for Spencer Hart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609512193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | E-17357 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Spencer Hart 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 |
Spencer Hart, 311 E Matthews Ave, Jonesboro, AR 72401-3125 Ph: () - | Spencer Hart, 311 E Matthews Ave, Jonesboro, AR 72401-3125 Ph: (870) 972-0063 |
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