Dr Sidney W Spencer, OD is a medicare enrolled "Optometrist" provider in Pilot Mtn, North Carolina. His current practice location is
118 Golf Course Rd, Pilot Mtn, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 368-4727.
Dr Sidney W Spencer is licensed to practice in North Carolina (license number #0951) 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 1366431439.
Healthcare Provider's Profile
| Full Name | Dr Sidney W Spencer |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 118 Golf Course Rd, Pilot Mtn, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366431439
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 03/26/2009
Medicare PECOS Information:
- PECOS PAC ID: 5799899019
- Enrollment ID: I20111230000019
Medical Identifiers
Medical identifiers for Dr Sidney W Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366431439 | NPI | - | NPPES |
| 79-09862 | Medicaid | NC | |
| 7909862 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 0951 (North Carolina) | Secondary |
| 152W00000X | Optometrist | #0951 (North Carolina) | Primary |
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 Sidney W Spencer 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 |
Dr Sidney W Spencer, OD Po Box 607, Pilot Mtn, NC 27041 Ph: (336) 368-4727 | Dr Sidney W Spencer, OD 118 Golf Course Rd, Pilot Mtn, NC 27041 Ph: (336) 368-4727 |
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