Dr John Michael Spores, PHD, JD in Valparaiso, IN - Medicare Psychologist Provider

Dr John Michael Spores, PHD, JD is a medicare enrolled "Psychologist - Clinical" provider in Valparaiso, Indiana. His current practice location is 3349 Willowcreek Rd, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 762-9556.

Dr John Michael Spores is licensed to practice in Indiana (license number 20040638A) 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 1730176587.

Contact Information

	Dr John Michael Spores, PHD, JD
	3349 Willowcreek Rd, Valparaiso, IN 46368-5015
	(219) 762-9556
	(219) 762-7318

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Michael Spores
Gender	Male
Speciality	Psychologist - Clinical
Location	3349 Willowcreek Rd, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730176587
Provider Enumeration Date: 10/05/2005
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5991854432
Enrollment ID: I20090513000008

Medical Identifiers

Medical identifiers for Dr John Michael Spores such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730176587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20040638A (Indiana)	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. Dr John Michael Spores allows following entities to bill medicare on his behalf.

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

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 John Michael Spores 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 John Michael Spores, PHD, JD 2110 Sherwood Dr, Valparaiso, IN 46385-2819 Ph: (219) 762-9556	Dr John Michael Spores, PHD, JD 3349 Willowcreek Rd, Valparaiso, IN 46368-5015 Ph: (219) 762-9556

Reviews and Comments

Psychologist in Valparaiso, IN

Dr. David R. Kenis, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Wall St, Valparaiso, IN 46383 Phone: 219-531-3500 Fax: 219-462-3975
Mr. Daniel Tobias Kachur, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 North Franklin Street, Suite 230, Valparaiso, IN 46383 Phone: 219-462-4770 Fax: 219-464-8156
Dr. Stewart E. Cooper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 826 Laporte Ave, Valparaiso, IN 46383 Phone: 219-464-5002 Fax: 219-464-6865
Dr. Mark Edwin Noll, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 158 Napoleon St, Suite 104, Valparaiso, IN 46383 Phone: 219-465-7674 Fax: 219-462-0329
Dr. Julia Lynn Kocal, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 Wexford Rd, Valparaiso, IN 46385 Phone: 219-531-2877 Fax: 219-531-2891
Dr. Lawrence Allen Viers, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8 N Morgan Blvd, Valparaiso, IN 46383 Phone: 219-464-9495 Fax: 219-465-7169
Patricia A Mooney, PSY.D.H.S.P.P Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3405 North Campbell Road, Valparaiso, Valparaiso, IN 46385 Phone: 219-462-1023

Dr John Michael Spores, PHD, JD - Medicare Psychologist in Valparaiso, IN