Mr Jimmy Lance Spakes Ii, FNP-BC in Temple, TX

Mr Jimmy Lance Spakes Ii, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Temple, Texas. His current practice location is 2112 Sw H K Dodgen Loop Ste 110, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at (877) 800-5722.

Mr Jimmy Lance Spakes Ii is licensed to practice in Texas (license number AP136162) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184126997.

Contact Information

	Mr Jimmy Lance Spakes Ii, FNP-BC
	2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011
	(877) 800-5722
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jimmy Lance Spakes Ii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2112 Sw H K Dodgen Loop Ste 110, Temple, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184126997
Provider Enumeration Date: 03/07/2018
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 4688939366
Enrollment ID: I20180530001181

Medical Identifiers

Medical identifiers for Mr Jimmy Lance Spakes Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184126997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP136162 (Texas)	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. Mr Jimmy Lance Spakes Ii allows following entities to bill medicare on his behalf.

Entity Name	Family Medicine Rural Health Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073665915 PECOS PAC ID: 8224009097 Enrollment ID: O20040804001175

Entity Name	Adventhealth Family Medicine Rural Health Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861050569 PECOS PAC ID: 8628308533 Enrollment ID: O20190919000410

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. Mr Jimmy Lance Spakes Ii 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
Mr Jimmy Lance Spakes Ii, FNP-BC 205 E University Ave Ste 200, Georgetown, TX 78626-6821 Ph: (512) 686-0207	Mr Jimmy Lance Spakes Ii, FNP-BC 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 Ph: (877) 800-5722

Reviews and Comments

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Ms. Gina Marie Heiss Harris, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437

Mr Jimmy Lance Spakes Ii, FNP-BC - Medicare Nurse Practitioner in Temple, TX