Cheryl Ann Spice, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Colorado Springs, Colorado. Her current practice location is
774 Airman Ln, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 205-4864.
Cheryl Ann Spice is licensed to practice in Colorado (license number APN.0998539) 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 1285288639.
Healthcare Provider's Profile
| Full Name | Cheryl Ann Spice |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 774 Airman Ln, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285288639
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072965920
- Enrollment ID: I20240117000932
Medical Identifiers
Medical identifiers for Cheryl Ann Spice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285288639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LPC.0018311 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0998539 (Colorado) | 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. Cheryl Ann Spice allows following entities to bill medicare on her behalf.
| Entity Name | Peak Vista Community Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730166034
PECOS PAC ID: 4688583974
Enrollment ID: O20031110000337 |
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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. Cheryl Ann Spice 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 |
|---|
Cheryl Ann Spice, NP
774 Airman Ln,
Colorado Springs, CO 80921-4804
Ph: (719) 205-4864 | Cheryl Ann Spice, NP
774 Airman Ln,
Colorado Springs, CO 80921-4804
Ph: (719) 205-4864 |
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