Kristi M Spitzer, LPC-MH - Medicare Counselor in Aberdeen, SD

Kristi M Spitzer, LPC-MH is a medicare enrolled "Counselor - Mental Health" provider in Aberdeen, South Dakota. Her current practice location is 3015 3rd Ave Se, Aberdeen, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 226-5500.

Kristi M Spitzer is licensed to practice in South Dakota (license number LPCMH30651) 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 1811664204.

Contact Information

Kristi M Spitzer, LPC-MH
3015 3rd Ave Se,
Aberdeen, SD 57401-5418
(605) 226-5500
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKristi M Spitzer
GenderFemale
SpecialityCounselor - Mental Health
Location3015 3rd Ave Se, Aberdeen, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811664204
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456795509
  • Enrollment ID: I20240216003545

Medical Identifiers

Medical identifiers for Kristi M Spitzer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811664204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 9809027 (South Dakota)Secondary
101YM0800XCounselor - Mental Health LPC20656 (South Dakota)Secondary
101YP2500XCounselor - Professional LPC20656 (South Dakota)Secondary
101YM0800XCounselor - Mental Health LPCMH30651 (South Dakota)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. Kristi M Spitzer allows following entities to bill medicare on her behalf.
Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790721280
PECOS PAC ID: 6800707100
Enrollment ID: O20031111000266

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. Kristi M Spitzer 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 AddressPractice Location Address
Kristi M Spitzer, LPC-MH
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Kristi M Spitzer, LPC-MH
3015 3rd Ave Se,
Aberdeen, SD 57401-5418

Ph: (605) 226-5500

Reviews and Comments


Counselor in Aberdeen, SD

Taylor A Petersen,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401
Phone: 605-225-1010    Fax: 605-725-8055
Madalyn Pederson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401
Phone: 605-225-1010    
Sheila Snover,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 628 Circle Dr, Aberdeen, SD 57401
Phone: 605-225-1010    Fax: 605-725-8057
Amy L Hauge, LPC-MH, QMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 125 Railroad Ave Se Ste 1, Aberdeen, SD 57401
Phone: 605-725-5505    
Nancy Yada,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14 S Main St, Suite 1e, Aberdeen, SD 57401
Phone: 605-225-1010    Fax: 605-225-1017
Reagan M Flamboe,
Counselor
Medicare: Medicare Enrolled
Practice Location: 14 S Main St, Suite 1e, Aberdeen, SD 57401
Phone: 605-225-1010    Fax: 605-225-1017
Megan Hulke,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14 S Main St Ste 1e, Aberdeen, SD 57401
Phone: 605-725-4956    Fax: 605-725-8055

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.