Mary Jo L Spencer, CPNP in Minneapolis, MN - Medicare Nurse Practitioner

Mary Jo L Spencer, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Minneapolis, Minnesota. Her current practice location is 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 884-0936.

Mary Jo L Spencer is licensed to practice in Minnesota (license number R 086024-0) 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 1881794659.

Contact Information

	Mary Jo L Spencer, CPNP
	516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455-0356
	(612) 884-0936
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Jo L Spencer
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	516 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881794659
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890987739
Enrollment ID: I20101011000065

Medical Identifiers

Medical identifiers for Mary Jo L Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881794659	NPI	-	NPPES
12-13453	Other	MN	MEDICA CHOICE
HP20941	Other	MN	HEALTH PARTNERS
05G59SP	Other	MN	BLUE CROSS BLUE SHIELD
768359	Other	MN	ARAZ
107868	Other	MN	UCARE
12-13453	Other	MN	MEDICA PRIMARY
4300179	Medicaid	MT
131017800	Medicaid	MN
1015967	Other	MN	PREFERRED ONE
157941	Other	MN	FAIRVIEW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R 086024-0 (Minnesota)	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. Mary Jo L Spencer allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Mary Jo L 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
Mary Jo L Spencer, CPNP 420 Delaware Street Se, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 884-0936	Mary Jo L Spencer, CPNP 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455-0356 Ph: (612) 884-0936

Reviews and Comments

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Mary Jo L Spencer, CPNP - Medicare Nurse Practitioner in Minneapolis, MN