Nicole Anastasia Spooner, NURSE PRACTITIONER in Berkeley, CA

Nicole Anastasia Spooner, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Union Square Dermatology A Professional Corporation and her current practice location is 1612 Julia St, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (415) 307-4566.

Nicole Anastasia Spooner is licensed to practice in California (license number 95005748) 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 1508186644.

Contact Information

	Nicole Anastasia Spooner, NURSE PRACTITIONER
	1612 Julia St, Berkeley, CA 94703
	(415) 307-4566
	(415) 206-4153

Map and Direction

Provider's Profile

Full Name	Nicole Anastasia Spooner
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1612 Julia St, Berkeley, California
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:

Nicole Anastasia Spooner graduated from nursing school in 2016

NPI Data:

NPI Number: 1508186644
Provider Enumeration Date: 06/10/2010
Last Update Date: 07/05/2018

Medicare PECOS Information:

PECOS PAC ID: 5294001384
Enrollment ID: I20171017002378

Medical Identifiers

Medical identifiers for Nicole Anastasia Spooner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508186644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	755783 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95005748 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Union Square Dermatology A Professional Corporation	1355406174	2

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. Nicole Anastasia Spooner allows following entities to bill medicare on her behalf.

Entity Name	John Muir Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143

Entity Name	Union Square Dermatology A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023263613 PECOS PAC ID: 1355406174 Enrollment ID: O20090211000447

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. Nicole Anastasia Spooner 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
Nicole Anastasia Spooner, NURSE PRACTITIONER 1612 Julia St, Berkeley, CA 94703-2018 Ph: (415) 307-4566	Nicole Anastasia Spooner, NURSE PRACTITIONER 1612 Julia St, Berkeley, CA 94703 Ph: (415) 307-4566

Reviews and Comments

Nurse Practitioner Nurses in Berkeley, CA

Jessica B. Vetter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-9494
Patricia Monger Harwood, RN.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Avenue, Berkeley, CA 94704 Phone: 510-642-8833
Miss Madeline Tam Chow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 4th St, Suite 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982
Zena E Herman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100
Kathryn Leach, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-642-2000
Stephanie Michelle Tai, FNP, MSN, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600
Denise Scholz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3260 Sacramento St, Berkeley, CA 94702 Phone: 510-981-4100

Nicole Anastasia Spooner, NURSE PRACTITIONER - Medicare Nurse Practitioner in Berkeley, CA