| Odette Spencer, PMHNP | |
|
23 Prospect Street, Norwalk, CT 06850-3750 | |
| (718) 877-3763 | |
| Not Available |
| Full Name | Odette Spencer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 23 Prospect Street, Norwalk, Connecticut |
| 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 |
|---|---|---|---|
| 1205137023 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Step Up Care Pc Llc | 5496088346 | 176 |
| Shakespeare Operating Llc | 0840604310 | 144 |
| Essen Medical Associates, Pc | 1759353501 | 264 |
| Entity Name | Step Up Care PC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Odette Spencer, PMHNP 23 Prospect Street, Norwalk, CT 06850-3705 Ph: (718) 877-3763 | Odette Spencer, PMHNP 23 Prospect Street, Norwalk, CT 06850-3750 Ph: (718) 877-3763 |
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