| Kaci Spencer, PA-C | |
|
3655 Vista Ave, Saint Louis, MO 63110-2539 | |
| (314) 577-8350 | |
| (314) 268-5410 |
| Full Name | Kaci Spencer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 3655 Vista Ave, Saint Louis, Missouri |
| 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 |
|---|---|---|---|
| 1982063624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006714 (Illinois) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 2016004102 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Illinois Medical Center | Marion, IL | Hospital |
| Ssm Health Saint Louis University Hospital | Saint louis, MO | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 145 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaci Spencer, PA-C 3635 Vista Ave, Center For Comprehensive Cardiovascular Care, Saint Louis, MO 63110-2539 Ph: (314) 577-8350 | Kaci Spencer, PA-C 3655 Vista Ave, Saint Louis, MO 63110-2539 Ph: (314) 577-8350 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 314-747-1171 Fax: 314-362-7086 |
Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 Phone: 314-251-1700 |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128 Phone: 314-525-1224 Fax: 314-525-4957 |
Ms. Keeley Ferrell Ryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-1320 |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 |