Dr Jared S Spencer, in Prior Lake, MN - Medicare Psychologist Provider

Dr Jared S Spencer, is a medicare enrolled "Psychologist - Clinical" provider in Prior Lake, Minnesota. His current practice location is 16180 Hastings Ave Se Ste 205, Prior Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 443-4600.

Dr Jared S Spencer is licensed to practice in Minnesota (license number LP6688) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477199636.

Contact Information

	Dr Jared S Spencer,
	16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228
	(952) 443-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jared S Spencer
Gender	Male
Speciality	Psychologist - Clinical
Location	16180 Hastings Ave Se Ste 205, Prior Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477199636
Provider Enumeration Date: 11/22/2019
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 7214335157
Enrollment ID: I20211007001870

Medical Identifiers

Medical identifiers for Dr Jared S Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477199636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6688 (Minnesota)	Primary
103TC0700X	Psychologist - Clinical	071.010179 (Illinois)	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. Dr Jared S Spencer allows following entities to bill medicare on his behalf.

Entity Name	Lorenz Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081

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. Dr Jared S 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
Dr Jared S Spencer, Po Box 51, Victoria, MN 55386-0051 Ph: (952) 443-4600	Dr Jared S Spencer, 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228 Ph: (952) 443-4600

Reviews and Comments

Psychologist in Prior Lake, MN

Ia Xiong X Toyed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600
Mr. Charles Howard Jorenby, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6885 Boudin St Ne Ste 200, Prior Lake, MN 55372 Phone: 952-226-2641 Fax: 952-226-2741
Dr. Brian Richard Brewer, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6167 Fax: 952-233-4255
Dr. Robert Chapman Marshall Jr., PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 Fax: 952-443-4604
Dr. Gillian Tibbetts, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600

Dr Jared S Spencer, - Medicare Psychologist in Prior Lake, MN