| Ms Stacy Ann Kretzer, MSW | |
|
1432 Southwest Blvd, Jefferson City, MO 65109-2444 | |
| (573) 632-5560 | |
| (573) 632-5875 |
| Full Name | Ms Stacy Ann Kretzer |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 1432 Southwest Blvd, Jefferson City, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518151117 | NPI | - | NPPES |
| 497450601 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2007017187 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacy Ann Kretzer, MSW Po Box 1128, 1432 Southwest Blvd, Jefferson City, MO 65102-1128 Ph: (573) 632-5560 | Ms Stacy Ann Kretzer, MSW 1432 Southwest Blvd, Jefferson City, MO 65109-2444 Ph: (573) 632-5560 |
Kayle Streb, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 844-853-8937 | |
Eric Thomas Lybeck-brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Oscar Dr, Suite A, Jefferson City, MO 65101 Phone: 573-635-8299 Fax: 573-635-4629 | |
Ms. Jennie M Harvat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Eileen Long, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 Southwest Blvd, Ste. F, Jefferson City, MO 65109 Phone: 573-424-1108 | |
Prof. Deborah Word, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 909 Missouri Blvd, Suite F, Jefferson City, MO 65109 Phone: 573-584-0158 Fax: 573-584-0159 | |
Rodnesha Wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 844-853-8937 | |
Mr. Kenneth Mark Skouby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515a East Mccarty, Jefferson City, MO 65101 Phone: 573-635-2254 Fax: 573-634-2221 |