Mrs Carliqua Spencer, PMHNP-BC in Baltimore, MD

Mrs Carliqua Spencer, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightwell Health Llc and her current practice location is 1212 N Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 276-2123.

Mrs Carliqua Spencer is licensed to practice in Maryland (license number R221599) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235724105.

Contact Information

	Mrs Carliqua Spencer, PMHNP-BC
	1212 N Wolfe St, Baltimore, MD 21213-3303
	(410) 276-2123
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carliqua Spencer
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1212 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Carliqua Spencer graduated from nursing school in 2020

NPI Data:

NPI Number: 1235724105
Provider Enumeration Date: 03/03/2021
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3577971464
Enrollment ID: I20210414000012

Medical Identifiers

Medical identifiers for Mrs Carliqua Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235724105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R221599 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightwell Health Llc	8224437397	6

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. Mrs Carliqua Spencer allows following entities to bill medicare on her behalf.

Entity Name	Ags Programs Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700398914 PECOS PAC ID: 7416364484 Enrollment ID: O20210319000014

Entity Name	Brightwell Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215515408 PECOS PAC ID: 8224437397 Enrollment ID: O20210521000216

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. Mrs Carliqua 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
Mrs Carliqua Spencer, PMHNP-BC 1212 N Wolfe St, Baltimore, MD 21213-3303 Ph: (410) 276-2123	Mrs Carliqua Spencer, PMHNP-BC 1212 N Wolfe St, Baltimore, MD 21213-3303 Ph: (410) 276-2123

Reviews and Comments

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Mrs Carliqua Spencer, PMHNP-BC - Medicare Nurse Practitioner in Baltimore, MD