Kimberly Ellen Spencer, MFT in Rocklin, CA - Medicare Marriage & Family Therapist Provider

Kimberly Ellen Spencer, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Rocklin, California. Her current practice location is 290 Technology Way Ste 300, Rocklin, California. You can reach out to her office (for appointments etc.) via phone at (916) 712-2850.

Kimberly Ellen Spencer is licensed to practice in California (license number 84617) 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 1639610058.

Contact Information

	Kimberly Ellen Spencer, MFT
	290 Technology Way Ste 300, Rocklin, CA 95765-1216
	(916) 712-2850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ellen Spencer
Gender	Female
Speciality	Marriage & Family Therapist
Location	290 Technology Way Ste 300, Rocklin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639610058
Provider Enumeration Date: 03/18/2017
Last Update Date: 03/18/2017

Medicare PECOS Information:

PECOS PAC ID: 3173967288
Enrollment ID: I20240216001895

Medical Identifiers

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

Identifier	Type	State	Issuer
1639610058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	84617 (California)	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. Kimberly Ellen Spencer allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kimberly Ellen 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
Kimberly Ellen Spencer, MFT 290 Technology Way Ste 300, Rocklin, CA 95765-1216 Ph: (916) 712-2850	Kimberly Ellen Spencer, MFT 290 Technology Way Ste 300, Rocklin, CA 95765-1216 Ph: (916) 712-2850

Reviews and Comments

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Kimberly Ellen Spencer, MFT - Medicare Couples Therapy in Rocklin, CA