Andrea Marie Spence, NP is a medicare enrolled "Nurse Practitioner" physician in Allen Park, Michigan. Her current practice location is
16407 Southfield Rd Ste A, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 271-3000.
Andrea Marie Spence is licensed to practice in Michigan (license number 4704267599) 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 1457001810.
Physician's Profile
| Full Name | Andrea Marie Spence |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 16407 Southfield Rd Ste A, Allen Park, Michigan |
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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: 1457001810
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 03/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608253042
- Enrollment ID: I20220524002145
Medical Identifiers
Medical identifiers for Andrea Marie Spence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457001810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4704267599 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4704267599 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704267599 (Michigan) | 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. Andrea Marie Spence allows following entities to bill medicare on her behalf.
| Entity Name | Nephrology Hypertension Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053466094
PECOS PAC ID: 5193719375
Enrollment ID: O20040412000529 |
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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. Andrea Marie Spence 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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Andrea Marie Spence, NP
16407 Southfield Rd Ste A,
Allen Park, MI 48101-2571
Ph: (313) 271-3000 | Andrea Marie Spence, NP
16407 Southfield Rd Ste A,
Allen Park, MI 48101-2571
Ph: (313) 271-3000 |
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