Nicole Antoinette Ware Spencer, PSY D - Medicare Psychologist in Tucker, GA

Nicole Antoinette Ware Spencer, PSY D is a medicare enrolled "Psychologist" provider in Tucker, Georgia. Her current practice location is 4325 1st Ave # 1461, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 404-1077.

Nicole Antoinette Ware Spencer is licensed to practice in Georgia (license number PSY004171) 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 1316141377.

Contact Information

Nicole Antoinette Ware Spencer, PSY D
4325 1st Ave # 1461,
Tucker, GA 30084-4498
(678) 404-1077
Not Available



Healthcare Provider's Profile

Full NameNicole Antoinette Ware Spencer
GenderFemale
SpecialityPsychologist
Location4325 1st Ave # 1461, Tucker, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316141377
  • Provider Enumeration Date: 06/13/2007
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385799352
  • Enrollment ID: I20230330000300

Medical Identifiers

Medical identifiers for Nicole Antoinette Ware Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316141377NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301013431 (Michigan)Secondary
103T00000XPsychologist PSY004171 (Georgia)Primary

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. Nicole Antoinette Ware 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
Nicole Antoinette Ware Spencer, PSY D
Po Box 1461,
Tucker, GA 30085-1461

Ph: (470) 810-7811
Nicole Antoinette Ware Spencer, PSY D
4325 1st Ave # 1461,
Tucker, GA 30084-4498

Ph: (678) 404-1077

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› Verified 2 days ago


Psychologist in Tucker, GA

James W Hamilton, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Crescent Center Pkwy, Department Of Behavioral Health, Tucker, GA 30084
Phone: 770-496-3609    Fax: 770-496-3708
Dr. Carolyn B Rasche, L.C.S.W., PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3548b Habersham At Northlake, Tucker, GA 30084
Phone: 770-493-8424    
Dr. Denella Lazenby Ausborn, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4500 Hugh Howell Rd, Suite 740, Tucker, GA 30084
Phone: 770-938-4616    Fax: 770-938-4615
Dr. Margaret H Hodges, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 4893 Lavista Rd, Tucker, GA 30084
Phone: 404-274-3460    
Laronta Upson Rush, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3760 Lavista Rd Ste 102, Tucker, GA 30084
Phone: 770-375-8124    Fax: 770-559-5543
Dr. Willie F Ausborn, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4500 Hugh Howell Rd, Suite 740, Tucker, GA 30084
Phone: 770-938-4616    Fax: 770-938-4615

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