Jaclyn Michelle Spencer, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rapid City, SD

Jaclyn Michelle Spencer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rapid City, South Dakota. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Black Hills Surgical Hospital Llp, Monument Health Rapid City Hospital, Inc. and her current practice location is 353 Fairmont Blvd, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 755-1000.

Jaclyn Michelle Spencer is licensed to practice in South Dakota (license number CR001070) 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 1336716869.

Contact Information

Jaclyn Michelle Spencer, CRNA
353 Fairmont Blvd,
Rapid City, SD 57701-7375
(605) 755-1000
Not Available



Provider's Profile

Full NameJaclyn Michelle Spencer
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location353 Fairmont Blvd, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Michelle Spencer graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1336716869
  • Provider Enumeration Date: 06/04/2021
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981005675
  • Enrollment ID: I20210701002916

Medical Identifiers

Medical identifiers for Jaclyn Michelle Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336716869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CR001070 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monument Health Rapid City HospitalRapid city, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black Hills Surgical Hospital Llp549674283568
Monument Health Rapid City Hospital, Inc.6002729506424

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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. Jaclyn Michelle Spencer allows following entities to bill medicare on her behalf.
Entity NameMonument Health Rapid City Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144

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Entity NameBlack Hills Surgical Hospital Llp
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1376896621
PECOS PAC ID: 5496742835
Enrollment ID: O20130513000380

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Entity NamePeloton Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912596545
PECOS PAC ID: 7911312178
Enrollment ID: O20210219002480

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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. Jaclyn Michelle 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 AddressPractice Location Address
Jaclyn Michelle Spencer, CRNA
353 Fairmont Blvd,
Rapid City, SD 57701-7375

Ph: (605) 755-1000
Jaclyn Michelle Spencer, CRNA
353 Fairmont Blvd,
Rapid City, SD 57701-7375

Ph: (605) 755-1000

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Nurse Anesthetist, Certified Registered Nurses in Rapid City, SD

Dawn Jo Zastoupil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57501
Phone: 605-755-1000    
Patrick Staedtler,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-755-1000    
Joseph W Amo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    
Jessica Anne Newman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    
Karen A Bryant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701
Phone: 605-719-1000    
Mr. Peter Schwiesow, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 216 Anamaria Dr, Rapid City, SD 57701
Phone: 606-721-4700    
Katie Kristine Bates, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701
Phone: 605-719-1000    Fax: 605-719-7884

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