Jasmine Spradley, in Canton, OH - Medicare Counselor Provider

Jasmine Spradley, is a medicare enrolled "Counselor" provider in Canton, Ohio. Her current practice location is 625 Cleveland Ave Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 455-0374.

Jasmine Spradley is licensed to practice in Ohio (license number C1901597TRNE) 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 1053882084.

Contact Information

	Jasmine Spradley,
	625 Cleveland Ave Nw, Canton, OH 44702-1805
	(330) 455-0374
	(330) 455-2101

Map and Direction

Healthcare Provider's Profile

Full Name	Jasmine Spradley
Gender	Female
Speciality	Counselor
Location	625 Cleveland Ave Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053882084
Provider Enumeration Date: 12/17/2018
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 0042750333
Enrollment ID: I20240913000266

Medical Identifiers

Medical identifiers for Jasmine Spradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053882084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	M1900139TRNE (Ohio)	Secondary
101Y00000X	Counselor	C1901597TRNE (Ohio)	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. Jasmine Spradley allows following entities to bill medicare on her behalf.

Entity Name	Kaitlyn Cassidy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538932785 PECOS PAC ID: 3577007020 Enrollment ID: O20240626000875

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. Jasmine Spradley 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
Jasmine Spradley, 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374	Jasmine Spradley, 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Alexis Mutersbaugh, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506

Jasmine Spradley, - Medicare Counselor in Canton, OH