Mr Christopher David Spellicy, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Greenville, South Carolina. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Changes Counseling Center Llc and his current practice location is
15 Brendan Way Ste 120, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(855) 501-1004.
Mr Christopher David Spellicy is licensed to practice in South Carolina (license number 29090) 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 1669137725.
Healthcare Provider's Profile
| Full Name | Mr Christopher David Spellicy |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 15 Brendan Way Ste 120, Greenville, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Christopher David Spellicy graduated from medical school in 2021
NPI Data:
- NPI Number: 1669137725
- Provider Enumeration Date: 11/03/2021
- Last Update Date: 05/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971992769
- Enrollment ID: I20241213000752
Medical Identifiers
Medical identifiers for Mr Christopher David Spellicy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669137725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | APRN11016361 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11016361 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 29090 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Changes Counseling Center Llc | 3072895655 | 7 |
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. Mr Christopher David Spellicy allows following entities to bill medicare on his behalf.
| Entity Name | Changes Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225344096
PECOS PAC ID: 3072895655
Enrollment ID: O20170113001528 |
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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. Mr Christopher David Spellicy 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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Mr Christopher David Spellicy, MSN, APRN, PMHNP-BC
3835 N Freeway Blvd Ste 100,
Sacramento, CA 95834-1954
Ph: (855) 501-1004 | Mr Christopher David Spellicy, MSN, APRN, PMHNP-BC
15 Brendan Way Ste 120,
Greenville, SC 29615-3562
Ph: (855) 501-1004 |
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