Dr Jacob Felix Spencer, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Bragg, California. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Julia Evans Phd Psychology Pc and his current practice location is
27000 N Highway 1, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at
(530) 310-7818.
Dr Jacob Felix Spencer is licensed to practice in California (license number PSY27901) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982921417.
Healthcare Provider's Profile
| Full Name | Dr Jacob Felix Spencer |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 27000 N Highway 1, Fort Bragg, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacob Felix Spencer graduated from medical school in 2012
NPI Data:
- NPI Number: 1982921417
- Provider Enumeration Date: 04/23/2010
- Last Update Date: 08/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214323963
- Enrollment ID: I20220405001544
Medical Identifiers
Medical identifiers for Dr Jacob Felix Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982921417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY27901 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Julia Evans Phd Psychology Pc | 0446510309 | 15 |
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. Dr Jacob Felix Spencer allows following entities to bill medicare on his behalf.
| Entity Name | Julia Evans Phd Psychology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861902280
PECOS PAC ID: 0446510309
Enrollment ID: O20180214001586 |
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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. Dr Jacob Felix 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 |
|---|
Dr Jacob Felix Spencer, PHD
4119 Johnstonville Road, #270503,
Susanville, CA 96130
Ph: (530) 310-7818 | Dr Jacob Felix Spencer, PHD
27000 N Highway 1,
Fort Bragg, CA 95437-8900
Ph: (530) 310-7818 |
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