Individual ProviderChad SpencerAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address101 W 8th Ave, Spokane, WA 99204-2307(509) 474-3181(425) 407-1000PECOS EnrollmentBased on the most recent information from CMS, provider Chad Spencer 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 4 days ago.Profile DetailsProvider ID1932633641Provider TypeIndividualFull NameSpencer, ChadCredentialMDGenderMaleSole ProprietorYesEnumeration Date4/19/2017Last Updated8/1/2022Contact InformationPractice LocationPractice Address101 W 8th Ave, Spokane, WA 99204-2307Phone(509) 474-3181FaxUnlisted FaxMailing LocationMailing AddressPO Box 4069, Everett, WA 98204-0007Phone(425) 407-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseMD61241829WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense227076North Carolina