Dean W. Spencer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD043648L Issued in PA

Practice address

1012 Water St
Meadville, PA 16335-3468

Phone

(814) 382-3100

Fax

(814) 382-0872

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 15

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Georgetown University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Physicians Associates, P.C.Group PAC ID 3375457799, 6 clinicians

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna Alliance Home health agency, Meadville, PA, CCN 397655
• Gentiva II Hospice, Meadville, PA, CCN 391681
• Hospice of Crawford County Inc Hospice, Meadville, PA, CCN 391540
• Meadville Medical Center Hospital, Meadville, PA, CCN 390113
• Upmc Northwest Hospital, Seneca, PA, CCN 390091

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deanspencermd@npa.allscriptsdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Meadville, PA
  • NPI 1093741282

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Physicians Associates PC

  • Family Medicine Physician
  • Meadville, PA
  • NPI 1144224973
  Medicare reassignment Care Compare group NPD
• Northwest Physicians Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Linesville, PA
  • NPI 1225690852
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Visiting Nurses

  • Home Health Agency
  • Meadville, PA
  • NPI 1932167921
  Care Compare affiliation
• Hospice of Crawford County Inc

  • Community Based Hospice Care Agency
  • Meadville, PA
  • NPI 1629045059
  Care Compare affiliation
• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Meadville, PA
  • NPI 1093741282
  Care Compare affiliation
• Upmc Northwest

  • Psychiatric Hospital Unit
  • Seneca, PA
  • NPI 1013090745
  Care Compare affiliation
• Upmc Northwest

  • General Acute Care Hospital
  • Seneca, PA
  • NPI 1619069440
  Care Compare affiliation
• Upmc Northwest

  • Ambulatory Surgical Clinic/Center
  • Seneca, PA
  • NPI 1922174747

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1043213465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353468",
            "telephone_number": "814-336-5995",
            "fax_number": "814-333-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353468",
            "telephone_number": "814-382-3100",
            "fax_number": "814-382-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043648L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "080074407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "148780",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "20047 FCN",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "205044",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012575550009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "559582",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012575550004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "117608",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1119995",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "902560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "A16806",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "84502",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012575550007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "251754199019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIERS CLEARINGHOUSE",
            "identifier": "4235190002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deanspencermd@npa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Dr. Spencer Direct Address Allscripts Pro EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1012 Water St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163353468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern Adventures
• Southerncare, Inc.
• Joseph John Sowansky Jr., O.D.
• Lee Shalamar Spain, D.O.
• Alida Spencer
• Lisa Srnka, CRNP
• Alicia Lynn Staats
• Stable Mind, PLLC
• Robert D Stainbrook, D.M.D
• Stairways Behavioral Health

• Family Medicine Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.