Kimberly N Spencer, LCPC in South Holland, IL

Kimberly N Spencer, LCPC is a medicare enrolled "Counselor - Professional" provider in South Holland, Illinois. Her current practice location is 16939 Woodlawn East Ave, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 719-0523.

Kimberly N Spencer is licensed to practice in Illinois (license number 180009432) 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 1437787876.

Contact Information

	Kimberly N Spencer, LCPC
	16939 Woodlawn East Ave, South Holland, IL 60473-3189
	(773) 719-0523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly N Spencer
Gender	Female
Speciality	Counselor - Professional
Location	16939 Woodlawn East Ave, South Holland, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437787876
Provider Enumeration Date: 03/31/2020
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7810428927
Enrollment ID: I20241001000037

Medical Identifiers

Medical identifiers for Kimberly N Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437787876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180009432 (Illinois)	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. Kimberly N Spencer allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

Entity Name	Thriveworks Clinical - Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575

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. Kimberly N Spencer 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
Kimberly N Spencer, LCPC 16939 Woodlawn East Ave, South Holland, IL 60473-3189 Ph: (773) 719-0523	Kimberly N Spencer, LCPC 16939 Woodlawn East Ave, South Holland, IL 60473-3189 Ph: (773) 719-0523

Reviews and Comments

Counselor in South Holland, IL

Robert E Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16278 Prince Dr, South Holland, IL 60473 Phone: 708-754-8815
Mr. Howard Julian Henry, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St, Suite 207, South Holland, IL 60473 Phone: 708-225-1237 Fax: 708-225-1338
Mrs. Ashley Elizabeth Anderson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St Ste 209, Heritage Center: Refuge Christian Counseling, South Holland, IL 60473 Phone: 708-339-2769 Fax: 708-339-6776
Ms. Sherrice A Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St, South Holland, IL 60473 Phone: 773-819-5504
Janiese Myesha Asque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16519 Ellis Ave, South Holland, IL 60473 Phone: 312-599-3436
Antoinette Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17051 Louis Ave, South Holland, IL 60473 Phone: 708-609-0124
Anthony Olujimi, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15475 S Park Ave Ste 109, South Holland, IL 60473 Phone: 708-596-5680 Fax: 708-596-5687

Kimberly N Spencer, LCPC - Medicare Counselor in South Holland, IL