Spencer Stanford, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. His current practice location is
30 E Apple St, 6th Floor Magnolia, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 257-9926.
Spencer Stanford is licensed to practice in Ohio (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 1386339448.
Physician's Profile
| Full Name | Spencer Stanford |
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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 | 30 E Apple St, Dayton, Ohio |
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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: 1386339448
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426419847
- Enrollment ID: I20230802000687
Medical Identifiers
Medical identifiers for Spencer Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386339448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 34.017710 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Ohio) | 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 Stanford 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 Stanford, DO 30 E Apple St, 6th Floor Magnolia, Dayton, OH 45409-2939 Ph: () - | Spencer Stanford, DO 30 E Apple St, 6th Floor Magnolia, Dayton, OH 45409-2939 Ph: (937) 257-9926 |
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