Kristin Clingman Spencer, MD is a medicare enrolled "Emergency Medicine" physician in Leesport, Pennsylvania. Her current practice location is
5479 Pottsville Pike, Leesport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 916-1050.
Kristin Clingman Spencer is licensed to practice in Pennsylvania (license number MD437038) 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 1154361848.
Physician's Profile
Full Name | Kristin Clingman Spencer |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 5479 Pottsville Pike, Leesport, Pennsylvania |
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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: 1154361848
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 03/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658333224
- Enrollment ID: I20181211003344
Medical Identifiers
Medical identifiers for Kristin Clingman Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154361848 | NPI | - | NPPES |
102334858 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD437038 (Pennsylvania) | 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. Kristin Clingman Spencer allows following entities to bill medicare on her behalf.
Entity Name | Afc Physicians Of Connecticut, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003152984 PECOS PAC ID: 5193966893 Enrollment ID: O20130723000274 |
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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. Kristin Clingman 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 |
Kristin Clingman Spencer, MD 50 Commerce Dr, Wyomissing, PA 19610-3335 Ph: (610) 372-8044 | Kristin Clingman Spencer, MD 5479 Pottsville Pike, Leesport, PA 19533-8650 Ph: (610) 916-1050 |
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