Misty Dawn Spencer, in Jacksonville, IL - Medicare Social Worker Provider

Misty Dawn Spencer, is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Illinois. Her current practice location is 340 W State St, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 245-6126.

Misty Dawn Spencer is licensed to practice in Illinois (license number 149020584) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538644646.

Contact Information

	Misty Dawn Spencer,
	340 W State St, Jacksonville, IL 62650-2061
	(217) 245-6126
	(217) 245-4296

Map and Direction

Healthcare Provider's Profile

Full Name	Misty Dawn Spencer
Gender	Female
Speciality	Social Worker - Clinical
Location	340 W State St, Jacksonville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538644646
Provider Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018

Medicare PECOS Information:

PECOS PAC ID: 5597000653
Enrollment ID: I20181218000497

Medical Identifiers

Medical identifiers for Misty Dawn Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538644646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149020584 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misty Dawn Spencer allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Dawn Spencer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Misty Dawn Spencer, 710 N 8th St, Springfield, IL 62702-6324 Ph: (217) 525-1064	Misty Dawn Spencer, 340 W State St, Jacksonville, IL 62650-2061 Ph: (217) 245-6126

Reviews and Comments

Social Worker in Jacksonville, IL

Coral Jeanne Armour, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-291-1041
Mr. William R Tennill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 557 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-245-7275 Fax: 217-245-7427
Susan Poole Nolls, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Webster Ave, Jacksonville, IL 62650 Phone: 217-479-4384
Sarah Karraker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-479-5691 Fax: 217-479-8781
Lana Carol West, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 W Vandalia Rd, Jacksonville, IL 62650 Phone: 217-370-5639
Kelsi Lynn Dobson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541
Ms. Margaret Louise Lorton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 E Morgan St, Jacksonville, IL 62650 Phone: 217-370-0797

Misty Dawn Spencer, - Medicare Clinical Social Worker in Jacksonville, IL