David Sprenkel, PHD - Medicare Psychologist in Rochester, PA

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David Sprenkel, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rochester, Pennsylvania. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Bluestem Behavioral Health Group Llc and his current practice location is 293 Pinney St, Rochester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 774-1404.

David Sprenkel is licensed to practice in Pennsylvania (license number PS008696L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629179320.

Contact Information

David Sprenkel, PHD
293 Pinney St,
Rochester, PA 15074-2164
(724) 774-1404
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid Sprenkel
GenderMale
SpecialityClinical Psychologist
Experience28 Years
Location293 Pinney St, Rochester, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Sprenkel graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1629179320
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 03/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022099266
  • Enrollment ID: I20040525001171

Medical Identifiers

Medical identifiers for David Sprenkel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629179320NPI-NPPES
000268729OtherPAHIGHMARK BC/BS
P00046840OtherPARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS008696L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bluestem Behavioral Health Group Llc50927024152

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. David Sprenkel allows following entities to bill medicare on his behalf.
Entity NameBluestem Behavioral Health Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265532600
PECOS PAC ID: 5092702415
Enrollment ID: O20040428000498

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. David Sprenkel 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 AddressPractice Location Address
David Sprenkel, PHD
293 Pinney St,
Rochester, PA 15074-2164

Ph: (724) 774-1404		David Sprenkel, PHD
293 Pinney St,
Rochester, PA 15074-2164

Ph: (724) 774-1404

Reviews and Comments


Psychologist in Rochester, PA

Dr. Gregory Hofstetter, PH.ED
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 176 Virginia Ave, Rochester, PA 15074
Phone: 724-775-5208    
Dr. Susan Jefferson, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 Brighton Ave Ste 110, Rochester, PA 15074
Phone: 724-709-6005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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