Dr Claude Oather Spears, NP-C - Medicare Nurse Practitioner in Accokeek, MD

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Dr Claude Oather Spears, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Accokeek, Maryland. His current practice location is 13807 Doctor Edelen Dr, Accokeek, Maryland. You can reach out to his office (for appointments etc.) via phone at (571) 235-4421.

Dr Claude Oather Spears is licensed to practice in Maryland (license number R226471) 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 1316507064.

Contact Information

Dr Claude Oather Spears, NP-C
13807 Doctor Edelen Dr,
Accokeek, MD 20607-3786
(571) 235-4421
Not Available

Map and Direction




Provider's Profile

Full NameDr Claude Oather Spears
GenderMale
SpecialityNurse Practitioner - Family
Location13807 Doctor Edelen Dr, Accokeek, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316507064
  • Provider Enumeration Date: 06/15/2019
  • Last Update Date: 10/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4486983038
  • Enrollment ID: I20190909000649

Medical Identifiers

Medical identifiers for Dr Claude Oather Spears such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316507064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R226471 (Maryland)Primary
207Q00000XFamily Medicine R226471 (Maryland)Secondary

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. Dr Claude Oather Spears allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Dr Claude Oather Spears 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
Dr Claude Oather Spears, NP-C
13807 Doctor Edelen Dr,
Accokeek, MD 20607-3786

Ph: (571) 235-4421		Dr Claude Oather Spears, NP-C
13807 Doctor Edelen Dr,
Accokeek, MD 20607-3786

Ph: (571) 235-4421

Reviews and Comments


Nurse Practitioner Nurses in Accokeek, MD

Ms. Patricia W Achama, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2205 Herring Creek Dr, Accokeek, MD 20607
Phone: 571-276-5613    
Lucie S Lavarn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14004 Vintage Ln, Accokeek, MD 20607
Phone: 240-425-2720    
Ms. Janeika Barnes, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Accokeek Landing Dr, Accokeek, MD 20607
Phone: 202-262-0380    
Mrs. Kim Marie Redfearn, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18415 Garner Ln, Accokeek, MD 20607
Phone: 202-679-1546    

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.