Steven Walter Spence, MD
Individual provider Active NPI Internal Medicine Physician · Marianna, FL
NPI 1528056223 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1528056223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- FLME0079376 (FL)
- Practice address
- 4318 5TH Ave
Marianna, FL 32446-2182 - Phone
- (850) 526-5300
- Fax
- (850) 482-5021
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Florida College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ER Physician Group at Jackson Hospital
Practice addresses (Care Compare)
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Hospital & facility affiliations
- Centerwell Home Health
- Concierge Home Care
- Enhabit Home Health
- Vitas Healthcare Corporation of Florida
- Emerald Coast Hospice
- Jackson Hospital
- Southeast Health Medical Center
- Doctors Memorial Hospital
- Flowers Hospital
- Marianna Health and Rehabilitation
- Chipola Health and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061019000151 | FL | Practitioner - Internal Medicine | 9234135039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLME0079376 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Physician Group at Jackson Hospital | Current |
Accepting new patients |
Locations
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
4318 5th Ave
Marianna, FL 32446
Phone (850) 209-8831
Interoperability endpoints
- stevenspence@jh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | FLME0079376 | FL | Yes |
Addresses
Primary practice location
4318 5TH Ave
Marianna, FL 32446-2182
Mailing address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FLME0079376 | Other | FL | FL STATE LICENSE NUMBER |
| 110227528 | Other | FL | RAILROAD MEDICARE |
| 261373500 | Medicaid | FL | |
| 58845 | Other | FL | BCBS PROVIDER NUMBER |
Other providers in Marianna, FL
- Staci Sneads
- South Alabama Diagnostic Imaging
- Southeast Cancer Care Network LLC
- Southern Roots Psychiatry Inc
- John A. Spence
- Spires Behavioral Health Care Center, PLLC
- Willie Spires
- Leigh Ann Spooner
- Angelanell D Stephens
- Vigie Ambay Stephens
All providers in Marianna, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.