Individual ProviderSpencer PlanckNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address916 W Owens Ave, Las Vegas, NV 89106-2516(702) 380-8118PECOS EnrollmentBased on the most recent information from CMS, provider Spencer Planck is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1639946536Provider TypeIndividualFull NamePlanck, SpencerCredentialRNGenderMaleSole ProprietorYesEnumeration Date12/11/2023Last Updated3/18/2024Contact InformationPractice LocationPractice Address916 W Owens Ave, Las Vegas, NV 89106-2516Phone(702) 380-8118FaxUnlisted FaxMailing LocationMailing Address914 W Owens Ave, Las Vegas, NV 89106-2516PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense876760Nevada