| Heather Wagner Spencer, ARNP | |
|
655 W 8th Street, Jacksonville, FL 32209 | |
| (904) 244-0411 | |
| Not Available |
| Full Name | Heather Wagner Spencer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 655 W 8th Street, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437565801 | NPI | - | NPPES |
| 013588900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 9249214 (Florida) | Secondary |
| 208M00000X | Hospitalist | APRN9249214 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vip Specialties Of Florida | 7810355708 | 27 |
| Florida Post Acute Medical Services 1 Pa | 2567729395 | 57 |
| Ca Pacs 2 Medical Group Inc | 4981954476 | 27 |
| Entity Name | University of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212 |
| Entity Name | Inpatient Consultants of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Florida Post Acute Medical Services 1 PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255862439 PECOS PAC ID: 2567729395 Enrollment ID: O20171201002143 |
| Entity Name | Ca Pacs 2 Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20200504000150 |
| Entity Name | Vip Specialties of Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790499812 PECOS PAC ID: 7810355708 Enrollment ID: O20230626001309 |
| Entity Name | CS Pacs 3 Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231030000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Wagner Spencer, ARNP 1833 Boulevard, Pob 5th Floor, Jacksonville, FL 32206-4382 Ph: (904) 383-1040 | Heather Wagner Spencer, ARNP 655 W 8th Street, Jacksonville, FL 32209 Ph: (904) 244-0411 |