Mrs Susan Gail Spell, ARNP in Jacksonville, FL

Mrs Susan Gail Spell, ARNP is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 807 Childrens Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 697-3600.

Mrs Susan Gail Spell is licensed to practice in Florida (license number ARNP9353692) 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 1205071875.

Contact Information

	Mrs Susan Gail Spell, ARNP
	807 Childrens Way, Jacksonville, FL 32207-8426
	(904) 697-3600
	(904) 697-3792

Map and Direction

Provider's Profile

Full Name	Mrs Susan Gail Spell
Gender	Female
Speciality	Nurse Practitioner
Location	807 Childrens Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205071875
Provider Enumeration Date: 12/10/2008
Last Update Date: 05/07/2015

Medicare PECOS Information:

PECOS PAC ID: 4082898630
Enrollment ID: I20211025001719

Medical Identifiers

Medical identifiers for Mrs Susan Gail Spell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205071875	NPI	-	NPPES
'008203000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9353692 (Florida)	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. Mrs Susan Gail Spell allows following entities to bill medicare on her behalf.

Entity Name	William Nields,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780240754 PECOS PAC ID: 1355678632 Enrollment ID: O20190808003015

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 Susan Gail Spell 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 Susan Gail Spell, ARNP Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212	Mrs Susan Gail Spell, ARNP 807 Childrens Way, Jacksonville, FL 32207-8426 Ph: (904) 697-3600

Reviews and Comments

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Mrs Susan Gail Spell, ARNP - Medicare Nurse Practitioner in Jacksonville, FL