Mrs Shirley Ann Spencer, MA, QMHP in Eugene, OR

Mrs Shirley Ann Spencer, MA, QMHP is a medicare enrolled "Counselor - Professional" provider in Eugene, Oregon. Her current practice location is 1200 Hilyard St, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (458) 205-7080.

Mrs Shirley Ann Spencer is licensed to practice in Oregon (license number C4647) 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 1306397666.

Contact Information

	Mrs Shirley Ann Spencer, MA, QMHP
	1200 Hilyard St, Eugene, OR 97401-8122
	(458) 205-7080
	(458) 205-7089

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shirley Ann Spencer
Gender	Female
Speciality	Counselor - Professional
Location	1200 Hilyard St, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306397666
Provider Enumeration Date: 10/20/2016
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5496106957
Enrollment ID: I20240109002268

Medical Identifiers

Medical identifiers for Mrs Shirley Ann Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306397666	NPI	-	NPPES
500720361	Medicaid	OR
500716902	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	T-16-443 (Oregon)	Secondary
101YM0800X	Counselor - Mental Health	R3226 (Oregon)	Secondary
101YP2500X	Counselor - Professional	C4647 (Oregon)	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. Mrs Shirley Ann Spencer allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097

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. Mrs Shirley Ann Spencer 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
Mrs Shirley Ann Spencer, MA, QMHP 10 Shelton Mcmurphey Blvd, Eugene, OR 97401-4928 Ph: (541) 485-2711	Mrs Shirley Ann Spencer, MA, QMHP 1200 Hilyard St, Eugene, OR 97401-8122 Ph: (458) 205-7080

Reviews and Comments

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Mrs Shirley Ann Spencer, MA, QMHP - Medicare Counselor in Eugene, OR