Brian Stoops, LCSW - Medicare Clinical Social Worker in Springfield, IL

Brian Stoops, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Illinois. His current practice location is 5230 S 6th Street Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 585-1180.

Brian Stoops is licensed to practice in Illinois (license number 149016747) 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 1306247861.

Contact Information

Brian Stoops, LCSW
5230 S 6th Street Rd,
Springfield, IL 62703-5128
(217) 585-1180
(217) 585-4747

Map and Direction




Healthcare Provider's Profile

Full NameBrian Stoops
GenderMale
SpecialitySocial Worker - Clinical
Location5230 S 6th Street Rd, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306247861
  • Provider Enumeration Date: 09/15/2014
  • Last Update Date: 09/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466777537
  • Enrollment ID: I20150212000275

Medical Identifiers

Medical identifiers for Brian Stoops such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306247861NPI-NPPES
149016747OtherILLICENSE CLINICAL SOCIAL WORKER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149016747 (Illinois)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. Brian Stoops allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520

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. Brian Stoops 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
Brian Stoops, LCSW
5230 S 6th Street Rd,
Springfield, IL 62703-5128

Ph: (217) 585-1180
Brian Stoops, LCSW
5230 S 6th Street Rd,
Springfield, IL 62703-5128

Ph: (217) 585-1180

Reviews and Comments


Social Worker in Springfield, IL

Sophie R Horner, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1220 S 7th St, Springfield, IL 62703
Phone: 217-679-5379    Fax: 217-679-5349
Mrs. Amanda B Henson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1020 S 5th St, Springfield, IL 62703
Phone: 217-544-3143    
Mrs. Jami Lynn Jamieson, L.C.S.W.
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 215 S Grand Ave West, Springfield, IL 62704
Phone: 217-744-3525    Fax: 217-744-3535
Christina Margaret White, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 224 Springcreek Dr, Springfield, IL 62702
Phone: 217-801-3990    
Dr. Michael B Schwartz, MSW, PH.D.
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Practice Location: 1733 W Ash St, Springfield, IL 62704
Phone: 217-787-4647    
Mr. David Stanley Brown, M.A.., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2325 W White Oaks Dr, Springfield, IL 62704
Phone: 217-793-3949    Fax: 217-793-3995
Ms. Bernetta A Andrewin, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711
Phone: 217-717-4733    Fax: 217-679-5981

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.