Mrs Kimberly Gillispie Spencer, LPC in Mount Airy, NC

Mrs Kimberly Gillispie Spencer, LPC is a medicare enrolled "Counselor - Mental Health" provider in Mount Airy, North Carolina. Her current practice location is 865 Westlake Dr, Mount Airy, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 719-6100.

Mrs Kimberly Gillispie Spencer is licensed to practice in North Carolina (license number 3825) 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 1750301321.

Contact Information

	Mrs Kimberly Gillispie Spencer, LPC
	865 Westlake Dr, Mount Airy, NC 27030-2102
	(336) 719-6100
	(336) 719-2313

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Gillispie Spencer
Gender	Female
Speciality	Counselor - Mental Health
Location	865 Westlake Dr, Mount Airy, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750301321
Provider Enumeration Date: 07/19/2006
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8426494949
Enrollment ID: I20240306004469

Medical Identifiers

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

Identifier	Type	State	Issuer
1750301321	NPI	-	NPPES
6103096	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3825 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	3825 (North Carolina)	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. Mrs Kimberly Gillispie Spencer allows following entities to bill medicare on her behalf.

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Mrs Kimberly Gillispie 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
Mrs Kimberly Gillispie Spencer, LPC Po Box 751803, Charlotte, NC 28275-1803 Ph: () -	Mrs Kimberly Gillispie Spencer, LPC 865 Westlake Dr, Mount Airy, NC 27030-2102 Ph: (336) 719-6100

Reviews and Comments

Counselor in Mount Airy, NC

Kristy L Silman, LMHC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Johnson Creek Rd, Mount Airy, NC 27030 Phone: 336-756-7026
Michelle J Bell, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Lebanon St, Mount Airy, NC 27030 Phone: 336-528-1859
Jacob Long, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Gene Hill Rd, Mount Airy, NC 27030 Phone: 336-553-8147
Debra Allison Smeltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100
Ritchie D Puckett, LCAS-A Counselor Medicare: Medicare Enrolled Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919
Stephanie Puckett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587
Amanda Fields Moncus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100

Mrs Kimberly Gillispie Spencer, LPC - Medicare Counselor in Mount Airy, NC