Kimberly A Spencer, CNP is a medicare enrolled "Nurse Practitioner - Family" in Coolville, Ohio. Her current practice location is
25716 Wilson St, Coolville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 846-0008.
Kimberly A Spencer is licensed to practice in Ohio (license number NP07474) 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 1588684740.
Provider's Profile
| Full Name | Kimberly A Spencer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 25716 Wilson St, Coolville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588684740
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 08/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 5092604116
- Enrollment ID: I20040315000830
Medical Identifiers
Medical identifiers for Kimberly A Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588684740 | NPI | - | NPPES |
| 2462446 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP07474 (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. Kimberly A Spencer allows following entities to bill medicare on her behalf.
| Entity Name | Hopewell Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699010348
PECOS PAC ID: 9234049990
Enrollment ID: O20110209000712 |
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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. Kimberly A 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 |
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Kimberly A Spencer, CNP
Po Box 188, 1049 Western Avenue,
Chillicothe, OH 45601-0188
Ph: (740) 773-4366 | Kimberly A Spencer, CNP
25716 Wilson St,
Coolville, OH 45723-8153
Ph: (740) 846-0008 |
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