Kelly Sinnema, - Medicare Counselor in Spencer, IA

Kelly Sinnema, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Spencer, Iowa. Her current practice location is 201 E 11th St, Spencer, Iowa. You can reach out to her office (for appointments etc.) via phone at (800) 242-5101.

Kelly Sinnema is licensed to practice in * (Not Available) (license number ) 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 1811424096.

Contact Information

Kelly Sinnema,
201 E 11th St,
Spencer, IA 51301-4436
(800) 242-5101
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Sinnema
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location201 E 11th St, Spencer, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811424096
  • Provider Enumeration Date: 05/18/2017
  • Last Update Date: 07/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4385094234
  • Enrollment ID: I20231219001876

Medical Identifiers

Medical identifiers for Kelly Sinnema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811424096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 088138 (Iowa)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))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. Kelly Sinnema allows following entities to bill medicare on her behalf.
Entity NameElevate Therapy & Assessment, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568092195
PECOS PAC ID: 6709213507
Enrollment ID: O20200217000529

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. Kelly Sinnema 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
Kelly Sinnema,
201 E 11th St,
Spencer, IA 51301-4436

Ph: () -
Kelly Sinnema,
201 E 11th St,
Spencer, IA 51301-4436

Ph: (800) 242-5101

Reviews and Comments


Counselor in Spencer, IA

Terry R Huisman, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 E 11th St, Spencer, IA 51301
Phone: 712-262-2922    Fax: 712-262-3826
Tiffany K Olerich,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 E 11th St, Spencer, IA 51301
Phone: 712-262-2922    
Chelsea Zaragoza,
Counselor
Medicare: Medicare Enrolled
Practice Location: 605 Grand Ave Ste 309314, Spencer, IA 51301
Phone: 712-262-4083    
Emily Sliefert, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 120 E 5th St, Spencer, IA 51301
Phone: 712-262-2922    
Melissa Eve Mugge, MS NCC LMHC-T
Counselor
Medicare: Medicare Enrolled
Practice Location: 20 W 6th St Ste 104, Spencer, IA 51301
Phone: 712-262-6111    
Tamera Frederick, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 201 E 11th St, Spencer, IA 51301
Phone: 712-262-2292    
Tyler Jon Reck,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Grand Ave N, Ste A, Spencer, IA 51301
Phone: 712-262-2952    Fax: 712-262-9098

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.