Kelly M Spanier, in Plymouth, MN - Medicare Clinical Psychologist Provider

Kelly M Spanier, is a medicare enrolled "Psychologist" provider in Plymouth, Minnesota. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is 4155 County Road 101 N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8900.

Kelly M Spanier is licensed to practice in Minnesota (license number LP6848) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588270557.

Contact Information

	Kelly M Spanier,
	4155 County Road 101 N, Plymouth, MN 55446-2307
	(952) 993-8900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly M Spanier
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	4155 County Road 101 N, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly M Spanier graduated from medical school in 2021

NPI Data:

NPI Number: 1588270557
Provider Enumeration Date: 09/16/2020
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7012390404
Enrollment ID: I20221026002569

Medical Identifiers

Medical identifiers for Kelly M Spanier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588270557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6848 (Minnesota)	Primary
101YM0800X	Counselor - Mental Health	12306 (Nebraska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1611

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. Kelly M Spanier allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Kelly M Spanier 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
Kelly M Spanier, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Kelly M Spanier, 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: (952) 993-8900

Reviews and Comments

Psychologist in Plymouth, MN

Christian L Babo, PSY D, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 10700 Old County Road 15 Ste 170, Plymouth, MN 55441 Phone: 763-525-8590 Fax: 763-525-8592
Jacquelyn H Baker, MA, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Suite 400, Plymouth, MN 55441 Phone: 612-577-7400 Fax: 612-577-7440
Dr. Gail Ann Thoen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12525 42 Avenue North, Plymouth, MN 55441 Phone: 763-551-1518
Dr. Gary D Vikesland, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 10700 Old County Road 15 Ste 170, Plymouth, MN 55441 Phone: 763-525-8590 Fax: 763-525-8592
Teresa A Boatman, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11525 40th Ave N, Plymouth, MN 55441 Phone: 763-234-4974
Ms. Melissa Ann Bollinger-kinney, M.S.ED LPC Psychologist Medicare: Medicare Enrolled Practice Location: 3021 Harbor Ln N Ste 206, Plymouth, MN 55447 Phone: 763-559-1640 Fax: 763-559-1617
Gretchen Carlson Collins, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3140 Harbor Ln N, Suite 141, Plymouth, MN 55447 Phone: 612-825-4407 Fax: 612-825-0768

Kelly M Spanier, - Medicare Psychologist in Plymouth, MN