Kristy Zappia Sprecher, LCSW - Medicare Counselor in Charleston, SC

Kristy Zappia Sprecher, LCSW is a medicare enrolled "Social Worker" provider in Charleston, South Carolina. She graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Kristy Zappia Sprecher is licensed to practice in South Carolina (license number 9243) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043540339.

Contact Information

Kristy Zappia Sprecher, LCSW
171 Ashley Ave,
Charleston, SC 29425-6767
(843) 792-1414
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKristy Zappia Sprecher
GenderFemale
SpecialityClinical Social Worker
Experience19 Years
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristy Zappia Sprecher graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1043540339
  • Provider Enumeration Date: 01/08/2010
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729121082
  • Enrollment ID: I20100209000163

Medical Identifiers

Medical identifiers for Kristy Zappia Sprecher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043540339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 9243 (South Carolina)Secondary
101YM0800XCounselor - Mental Health C006178 (North Carolina)Secondary
104100000XSocial Worker 9243 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649522048

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. Kristy Zappia Sprecher allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436

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. Kristy Zappia Sprecher 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
Kristy Zappia Sprecher, LCSW
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Kristy Zappia Sprecher, LCSW
171 Ashley Ave,
Charleston, SC 29425-6767

Ph: (843) 792-1414

Reviews and Comments


Social Worker in Charleston, SC


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.