Stanley Thomas Antonelli Iii, LCSW, LCAC in Kokomo, IN - Medicare Clinical Social Worker Provider

Stanley Thomas Antonelli Iii, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Kokomo, Indiana. He graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 4004 Pleasant Dr, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 727-1833.

Stanley Thomas Antonelli Iii is licensed to practice in Indiana (license number 34005677A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720328446.

Contact Information

	Stanley Thomas Antonelli Iii, LCSW, LCAC
	4004 Pleasant Dr, Kokomo, IN 46902-5858
	(574) 727-1833
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stanley Thomas Antonelli Iii
Gender	Male
Speciality	Clinical Social Worker
Experience	19 Years
Location	4004 Pleasant Dr, Kokomo, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stanley Thomas Antonelli Iii graduated from medical school in 2005

NPI Data:

NPI Number: 1720328446
Provider Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013

Medicare PECOS Information:

PECOS PAC ID: 4284921883
Enrollment ID: I20160926001571

Medical Identifiers

Medical identifiers for Stanley Thomas Antonelli Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720328446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001442A (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	34005677A (Indiana)	Primary
1041S0200X	Social Worker - School	1619240 (Indiana)	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. Stanley Thomas Antonelli Iii allows following entities to bill medicare on his behalf.

Entity Name	Psychotherapy Associates Of Kokomo, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447868906 PECOS PAC ID: 0143646323 Enrollment ID: O20200818004107

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. Stanley Thomas Antonelli Iii 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
Stanley Thomas Antonelli Iii, LCSW, LCAC 4004 Pleasant Dr, Kokomo, IN 46902-5858 Ph: (574) 727-1833	Stanley Thomas Antonelli Iii, LCSW, LCAC 4004 Pleasant Dr, Kokomo, IN 46902-5858 Ph: (574) 727-1833

Stanley Thomas Antonelli Iii, LCSW, LCAC - Medicare Counselor in Kokomo, IN