Samikqua Spencer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Allis, Wisconsin. Her current practice location is
1751 S 115th Ct Apt 101, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 573-4584.
Samikqua Spencer is licensed to practice in Wisconsin (license number 12001) 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 1013478312.
Healthcare Provider's Profile
| Full Name | Samikqua Spencer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1751 S 115th Ct Apt 101, West Allis, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013478312
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688102049
- Enrollment ID: I20250113002288
Medical Identifiers
Medical identifiers for Samikqua Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013478312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18477 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 132328-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12001 (Wisconsin) | 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. Samikqua Spencer allows following entities to bill medicare on her behalf.
| Entity Name | Prohealth Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066 |
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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. Samikqua 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 |
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Samikqua Spencer, LCSW
1751 S 115th Ct Apt 101,
West Allis, WI 53214-3779
Ph: (414) 573-4584 | Samikqua Spencer, LCSW
1751 S 115th Ct Apt 101,
West Allis, WI 53214-3779
Ph: (414) 573-4584 |
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