John Richard Spooner, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bolivar, Missouri. He graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
2085 S Boston Pl, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 326-2418.
John Richard Spooner is licensed to practice in Missouri (license number 2006034106) 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 1750351409.
Healthcare Provider's Profile
| Full Name | John Richard Spooner |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 19 Years |
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| Location | 2085 S Boston Pl, Bolivar, Missouri |
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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:
- John Richard Spooner graduated from medical school in 2005
NPI Data:
- NPI Number: 1750351409
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 09/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 7719084151
- Enrollment ID: I20070521000317
Medical Identifiers
Medical identifiers for John Richard Spooner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750351409 | NPI | - | NPPES |
| 495966319 | Medicaid | MO | |
| 193564 | Other | MO | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2002023735 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2006034106 (Missouri) | 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. John Richard Spooner allows following entities to bill medicare on his behalf.
| Entity Name | Good Nous Family Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447590104
PECOS PAC ID: 6103060058
Enrollment ID: O20130917000105 |
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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. John Richard Spooner 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 |
|---|
John Richard Spooner, PSYD
2085 S Boston Pl,
Bolivar, MO 65613-2871
Ph: (417) 326-2418 | John Richard Spooner, PSYD
2085 S Boston Pl,
Bolivar, MO 65613-2871
Ph: (417) 326-2418 |
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