Spenser Interlicchio, is a
Hospitalist physician based in Branson, Missouri. Spenser Interlicchio is licensed to practice in Missouri (license number TBD) and his current practice location is 525 Branson Landing Blvd, Branson, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 335-7000.
NPI number for Spenser Interlicchio is 1700738515 and his current mailing address is 52 Miles Standish Rd, Rotterdam, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700738515.
Physician's Profile
| Full Name | Spenser Interlicchio |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 525 Branson Landing Blvd, Branson, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700738515
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Spenser Interlicchio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700738515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | TBD (Missouri) | 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. Spenser Interlicchio 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 |
|---|
Spenser Interlicchio,
52 Miles Standish Rd,
Rotterdam, NY 12306-3323
Ph: () - | Spenser Interlicchio,
525 Branson Landing Blvd,
Branson, MO 65616-2052
Ph: (417) 335-7000 |
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