Spencer Allen Shupe, APNP is a medicare enrolled "Nurse Practitioner - Family" in Amherst, Wisconsin. His current practice location is
272 Christy St, Amherst, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 824-5151.
Spencer Allen Shupe is licensed to practice in Wisconsin (license number 13166) 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 1205553617.
Provider's Profile
| Full Name | Spencer Allen Shupe |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 272 Christy St, Amherst, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205553617
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 10/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355719758
- Enrollment ID: I20221116000098
Medical Identifiers
Medical identifiers for Spencer Allen Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205553617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 13166 (Wisconsin) | 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. Spencer Allen Shupe allows following entities to bill medicare on his behalf.
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706 |
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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. Spencer Allen Shupe 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 |
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Spencer Allen Shupe, APNP
936 Kronenwetter Dr Apt 5,
Kronenwetter, WI 54455-6215
Ph: (715) 321-3321 | Spencer Allen Shupe, APNP
272 Christy St,
Amherst, WI 54406-9390
Ph: (715) 824-5151 |
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