Samikqua Spencer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Allis, Wisconsin. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Prohealth Medical Group Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013478312.
Healthcare Provider's Profile
| Full Name | Samikqua Spencer |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1751 S 115th Ct Apt 101, West Allis, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Samikqua Spencer graduated from medical school in 2018
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prohealth Medical Group Inc | 3476465188 | 443 |
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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