Ms Mary Ann Nmn Spencer, CNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Las Vegas, New Mexico. Her current practice location is
1235 8th St, Las Vegas, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 425-6788.
Ms Mary Ann Nmn Spencer is licensed to practice in New Mexico (license number CNP-03110) 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 1669613568.
Provider's Profile
Full Name | Ms Mary Ann Nmn Spencer |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 1235 8th St, Las Vegas, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669613568
- Provider Enumeration Date: 03/23/2009
- Last Update Date: 11/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7315229077
- Enrollment ID: I20170113000338
Medical Identifiers
Medical identifiers for Ms Mary Ann Nmn Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669613568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP2201X | Registered Nurse - Ambulatory Care | 464128 (Texas) | Secondary |
364SF0001X | Clinical Nurse Specialist - Family Health | AP126564 (Texas) | Secondary |
364SF0001X | Clinical Nurse Specialist - Family Health | CNP-03110 (New Mexico) | 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. Ms Mary Ann Nmn Spencer allows following entities to bill medicare on her behalf.
Entity Name | El Centro Family Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780689034 PECOS PAC ID: 9830080688 Enrollment ID: O20100528000457 |
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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. Ms Mary Ann Nmn 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 |
Ms Mary Ann Nmn Spencer, CNP Po Box 158, Espanola, NM 87532-0158 Ph: (505) 753-7218 | Ms Mary Ann Nmn Spencer, CNP 1235 8th St, Las Vegas, NM 87701-4219 Ph: (505) 425-6788 |
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