Kandice J Witherspoon, LPC in Philadelphia, PA

Kandice J Witherspoon, LPC is a medicare enrolled "Counselor - Professional" provider in Philadelphia, Pennsylvania. Her current practice location is 3535 Market Street, Mezzanine Level, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 764-4100.

Kandice J Witherspoon is licensed to practice in Pennsylvania (license number PC009305) 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 1669003687.

Contact Information

	Kandice J Witherspoon, LPC
	3535 Market Street, Mezzanine Level, Philadelphia, PA 19104-3317
	(215) 764-4100
	(215) 746-4116

Map and Direction

Healthcare Provider's Profile

Full Name	Kandice J Witherspoon
Gender	Female
Speciality	Counselor - Professional
Location	3535 Market Street, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669003687
Provider Enumeration Date: 01/29/2020
Last Update Date: 02/23/2022

Medicare PECOS Information:

PECOS PAC ID: 2062806805
Enrollment ID: I20240421000019

Medical Identifiers

Medical identifiers for Kandice J Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669003687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC009305 (Pennsylvania)	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. Kandice J Witherspoon allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Kandice J Witherspoon 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
Kandice J Witherspoon, LPC 3535 Market Street, Mezzanine Level, Philadelphia, PA 19104-3317 Ph: (215) 764-4100	Kandice J Witherspoon, LPC 3535 Market Street, Mezzanine Level, Philadelphia, PA 19104-3317 Ph: (215) 764-4100

Reviews and Comments

Counselor in Philadelphia, PA

Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899
Lorraine Braxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4900 Wyalusing Ave, Philadelphia, PA 19131 Phone: 215-473-7033
Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699

Kandice J Witherspoon, LPC - Medicare Counselor in Philadelphia, PA