SPENCER DAYTON PACKER
NPI 1174859730
Physician Assistant - Medical in Porterville, CA

Q: What is Spencer Packer's NPI number?

The NPI number for Spencer Packer is 1174859730. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Q: What is Spencer Packer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Packer was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2009PECOS EnrolledAccepts Medicare Assignment

1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK, PORTERVILLE, CA 93257(559) 781-7242(559) 793-3174 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spencer Dayton Packer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER DAYTON PACKER (NPI 1174859730) is an individual medical provider in Porterville, California, licensed in California (PA23178) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2013).

NPPES Registry Identity

NPI1174859730

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSPENCER DAYTON PACKER

Location Address1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORKPorterville, CA 93257-5839

Mailing Address1107 W Poplar Ave, C/o Family Healthcare NetworkPorterville, CA 93257-5839 · (559) 781-7242 · Fax (559) 793-3574

Phone(559) 781-7242

Fax(559) 793-3174

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2013

Enumeration DateNovember 2, 2009

Last NPPES UpdateAugust 6, 2014

✔ NPI 1174859730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA23178

1107 W POPLAR AVE, Porterville, CA 93257

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Spencer Dayton Packer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173849429

PECOS Enrollment IDI20150303001540

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers50 claims97 services$4.88 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers18 claims22 services$0.69 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$13.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier28 claims28 services$2.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier53 claims53 services$52.63 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers31 claims2,330 services$0.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROMAN ESTEBAN MAYEK

Family Medicine