Jennifer Enid Spencer, is a
Community Health Worker based in San Francisco, California. Jennifer Enid Spencer is licensed to practice in California (license number RIS1410061011) and her current practice location is
1701 Ocean Ave, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 452-2200.
NPI number for Jennifer Enid Spencer is 1184918260 and her current mailing address is 1601 Donner Ave, Suite 3, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184918260.
Healthcare Provider's Profile
| Full Name | Jennifer Enid Spencer |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
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| Location | 1701 Ocean Ave, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184918260
- Provider Enumeration Date: 06/06/2011
- Last Update Date: 01/30/2019
Medical Identifiers
Medical identifiers for Jennifer Enid Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184918260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RIS1410061011 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | RIS1410061011 (California) | Primary |
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. Jennifer Enid Spencer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer Enid Spencer,
1601 Donner Ave, Suite 3,
San Francisco, CA 94124-3276
Ph: (415) 762-8391 | Jennifer Enid Spencer,
1701 Ocean Ave,
San Francisco, CA 94112-1727
Ph: (415) 452-2200 |
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