Jayla Nicole Sporleder, in Andover, KS - Medicare Counselor Provider

Jayla Nicole Sporleder, is a medicare enrolled "Counselor - Professional" provider in Andover, Kansas. Her current practice location is 221 E King St, Andover, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 733-5047.

Jayla Nicole Sporleder is licensed to practice in Kansas (license number 04934) 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 1740090018.

Contact Information

	Jayla Nicole Sporleder,
	221 E King St, Andover, KS 67002-8964
	(316) 733-5047
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jayla Nicole Sporleder
Gender	Female
Speciality	Counselor - Professional
Location	221 E King St, Andover, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740090018
Provider Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0042734816
Enrollment ID: I20250414002440

Medical Identifiers

Medical identifiers for Jayla Nicole Sporleder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740090018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	04934 (Kansas)	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. Jayla Nicole Sporleder allows following entities to bill medicare on her behalf.

Entity Name	South Central Mental Health Counseling Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538155882 PECOS PAC ID: 3375437973 Enrollment ID: O20040213000114

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. Jayla Nicole Sporleder 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
Jayla Nicole Sporleder, 520 E Augusta Ave, Augusta, KS 67010-2100 Ph: () -	Jayla Nicole Sporleder, 221 E King St, Andover, KS 67002-8964 Ph: (316) 733-5047

Reviews and Comments

Counselor in Andover, KS

Sidney Claire Lampon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Andover Rd Ste 100, Andover, KS 67002 Phone: 316-247-2063
Chelsea Sampoll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Andover Rd Ste 100, Andover, KS 67002 Phone: 316-247-3063 Fax: 316-247-6833
Megan Allyce Howard, LPC, ATR-P, NCC Counselor Medicare: Medicare Enrolled Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047
Ms. Tammy Gail Downen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Clubhouse Cir, Andover, KS 67002 Phone: 316-223-7875
Mr. Aaron David Scharenberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W Central Ave Ste L, Andover, KS 67002 Phone: 316-680-2449 Fax: 316-315-6945
Mrs. Iris Michael Pauly, M.S. Counselor Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047
Sarah Anne Bergeson, LPC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1544 N Shadow Rock Dr, Andover, KS 67002 Phone: 573-554-5470

Jayla Nicole Sporleder, - Medicare Counselor in Andover, KS