Shanan Spencer, LCPC is a medicare enrolled "Counselor - Professional" provider in Frostburg, Maryland. Her current practice location is
150 Park Ave, Frostburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 689-5034.
Shanan Spencer is licensed to practice in Texas (license number 86645) 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 1760648836.
Healthcare Provider's Profile
Full Name | Shanan Spencer |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 150 Park Ave, Frostburg, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760648836
- Provider Enumeration Date: 07/29/2008
- Last Update Date: 09/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739525783
- Enrollment ID: I20240312003571
Medical Identifiers
Medical identifiers for Shanan Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760648836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 86645 (Texas) | Primary |
101YP2500X | Counselor - Professional | LC2763 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | 86645 (Texas) | Secondary |
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. Shanan Spencer allows following entities to bill medicare on her behalf.
Entity Name | Texas Health Virtual Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123 |
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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. Shanan 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 |
Shanan Spencer, LCPC 1180 Professional Ct, Hagerstown, MD 21740-5852 Ph: (301) 791-3045 | Shanan Spencer, LCPC 150 Park Ave, Frostburg, MD 21532-2218 Ph: (301) 689-5034 |
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