Ted H Spooner, in St Louis Park, MN

Ted H Spooner, is a medicare enrolled "Surgery" physician in St Louis Park, Minnesota. His current practice location is 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3246.

Ted H Spooner is licensed to practice in Minnesota (license number 31959) 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 1932188653.

Contact Information

	Ted H Spooner,
	6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426-4702
	(952) 993-3246
	(952) 993-3010

Map and Direction

Physician's Profile

Full Name	Ted H Spooner
Gender	Male
Speciality	Surgery
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932188653
Provider Enumeration Date: 01/11/2006
Last Update Date: 10/07/2011

Medicare PECOS Information:

PECOS PAC ID: 2769517804
Enrollment ID: I20100315000952

Medical Identifiers

Medical identifiers for Ted H Spooner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932188653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	31959 (Minnesota)	Primary

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. Ted H Spooner allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Ted H Spooner 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
Ted H Spooner, 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: (952) 993-7169	Ted H Spooner, 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426-4702 Ph: (952) 993-3246

Reviews and Comments

Surgery Doctors in St Louis Park, MN

Jeffrey Mendeloff, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246
Andrew J K Smith, Surgery Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd #e500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 Phone: 952-993-7342 Fax: 952-993-2701
Brian Grubbs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3017
Dr. Christopher Jen-hung Chow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Department Of Surgery, Meadowbrook W-200, St Louis Park, MN 55426 Phone: 952-993-3180
Michael T Schueppert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010
Dr. James Ho-ming Kong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 Fax: 952-993-3611
Colleen N Kuzj, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748

Ted H Spooner, - Medicare Surgery in St Louis Park, MN