Mandy Kay Sproul, MAAT, LPC, ATR is a medicare enrolled "Counselor - Professional" provider in Madrid, New Mexico. Her current practice location is
1 Backroad, Madrid, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(515) 996-0278.
Mandy Kay Sproul is licensed to practice in Colorado (license number LPC.00181015) 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 1194474700.
Healthcare Provider's Profile
Full Name | Mandy Kay Sproul |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1 Backroad, Madrid, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194474700
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305386343
- Enrollment ID: I20240905001956
Medical Identifiers
Medical identifiers for Mandy Kay Sproul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194474700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC.00181015 (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. Mandy Kay Sproul allows following entities to bill medicare on her behalf.
Entity Name | Bluejay Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902551690 PECOS PAC ID: 2769820646 Enrollment ID: O20240710000941 |
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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. Mandy Kay Sproul 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 |
Mandy Kay Sproul, MAAT, LPC, ATR 1 Backroad, Madrid, NM 87010-9727 Ph: (515) 996-0278 | Mandy Kay Sproul, MAAT, LPC, ATR 1 Backroad, Madrid, NM 87010-9727 Ph: (515) 996-0278 |
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