Jennifer Lynn Spencer, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. Her current practice location is
503 N Main St Ste 324, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 281-4789.
Jennifer Lynn Spencer is licensed to practice in Colorado (license number CSW.09928993) 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 1972795896.
Healthcare Provider's Profile
| Full Name | Jennifer Lynn Spencer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 503 N Main St Ste 324, Pueblo, 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: 1972795896
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 01/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719333954
- Enrollment ID: I20231025001012
Medical Identifiers
Medical identifiers for Jennifer Lynn Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972795896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LW60157679 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | CSW.09928993 (Colorado) | Secondary |
| 171M00000X | Case Manager/care Coordinator | LW60157679 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60157679 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | LW60157679 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09928993 (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. Jennifer Lynn Spencer allows following entities to bill medicare on her behalf.
| Entity Name | Blue Moon Of Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629593967
PECOS PAC ID: 5698034791
Enrollment ID: O20180118000946 |
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| Entity Name | On The Couch Counseling And Therapy Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003675091
PECOS PAC ID: 4587004940
Enrollment ID: O20240502000301 |
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| Entity Name | Pueblo Senior Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366201352
PECOS PAC ID: 2860833936
Enrollment ID: O20240508000098 |
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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. Jennifer Lynn 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 |
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Jennifer Lynn Spencer, LICSW
1317 N Vermillion Ct,
Pueblo, CO 81007-1345
Ph: (425) 903-1103 | Jennifer Lynn Spencer, LICSW
503 N Main St Ste 324,
Pueblo, CO 81003-3139
Ph: (719) 281-4789 |
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