Lynnette Diane Spencer, LYNNETTE SPENCER MFT in Fairfield, CA - Medicare Marriage & Family Therapist Provider

Lynnette Diane Spencer, LYNNETTE SPENCER MFT is a medicare enrolled "Marriage & Family Therapist" provider in Fairfield, California. Her current practice location is 1300 Oliver Rd Ste 193, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 514-5812.

Lynnette Diane Spencer is licensed to practice in California (license number 43271) 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 1649402645.

Contact Information

	Lynnette Diane Spencer, LYNNETTE SPENCER MFT
	1300 Oliver Rd Ste 193, Fairfield, CA 94534-3431
	(707) 514-5812
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lynnette Diane Spencer
Gender	Female
Speciality	Marriage & Family Therapist
Location	1300 Oliver Rd Ste 193, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649402645
Provider Enumeration Date: 08/10/2009
Last Update Date: 01/27/2020

Medicare PECOS Information:

PECOS PAC ID: 1850700907
Enrollment ID: I20240124002898

Medical Identifiers

Medical identifiers for Lynnette Diane Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649402645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	43271 (California)	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. Lynnette Diane Spencer allows following entities to bill medicare on her behalf.

Entity Name	Lumen Health And Psychological Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366978843 PECOS PAC ID: 5799012266 Enrollment ID: O20190806002444

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. Lynnette Diane 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
Lynnette Diane Spencer, LYNNETTE SPENCER MFT 4120 Cameron Park Dr, Suite 205, Cameron Park, CA 95682-7212 Ph: (530) 318-1858	Lynnette Diane Spencer, LYNNETTE SPENCER MFT 1300 Oliver Rd Ste 193, Fairfield, CA 94534-3431 Ph: (707) 514-5812

Reviews and Comments

Marriage & Family Therapist in Fairfield, CA

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Mr. Kenneth R Evans, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave, Fairfield, CA 94533 Phone: 707-784-8189 Fax: 707-784-7995

Lynnette Diane Spencer, LYNNETTE SPENCER MFT - Medicare Couples Therapy in Fairfield, CA