Stanford Purnell Iii, in West Palm Beach, FL - Medicare Social Worker Provider

Stanford Purnell Iii, is a medicare enrolled "Social Worker - Clinical" provider in West Palm Beach, Florida. His current practice location is 6426 Emerald Dunes Dr Apt 303, West Palm Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 281-5828.

Stanford Purnell Iii is licensed to practice in Florida (license number SW20454) 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 1053051441.

Contact Information

	Stanford Purnell Iii,
	6426 Emerald Dunes Dr Apt 303, West Palm Beach, FL 33411-2765
	(561) 281-5828
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stanford Purnell Iii
Gender	Male
Speciality	Social Worker - Clinical
Location	6426 Emerald Dunes Dr Apt 303, West Palm Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053051441
Provider Enumeration Date: 04/01/2022
Last Update Date: 03/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1254798283
Enrollment ID: I20230607001675

Medical Identifiers

Medical identifiers for Stanford Purnell Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053051441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW14871 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	SW20454 (Florida)	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. Stanford Purnell Iii allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Stanford Purnell 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
Stanford Purnell Iii, 1145 Audace Ave Apt 304, Boynton Beach, FL 33426-3484 Ph: () -	Stanford Purnell Iii, 6426 Emerald Dunes Dr Apt 303, West Palm Beach, FL 33411-2765 Ph: (561) 281-5828

Reviews and Comments

Social Worker in West Palm Beach, FL

Ms. Tara L Mcdonnell, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 Northpoint Pkwy Ste 304, West Palm Beach, FL 33407 Phone: 561-898-0717
Angela Korber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7305 N. Military Trail, Sws/122, West Palm Beach, FL 33410 Phone: 561-422-5569
Amy Kathleen Dibartolo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1041 45th St, West Palm Beach, FL 33407 Phone: 561-383-8000 Fax: 561-514-1275
Denise Delatron Barnes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 471 Spencer Dr, West Palm Beach, FL 33409 Phone: 561-444-3512 Fax: 413-568-5983
Rebecca Austin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N. Congress Ave Suite 301, West Palm Beach, FL 33407 Phone: 856-454-3104
Tara Leigh Sullivan-butrica, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 N Congress Ave Suite 301, West Palm Beach, FL 33407 Phone: 856-454-3104
Beatriz R Ayala, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 Parker Ave, West Palm Beach, FL 33405 Phone: 561-616-1222

Stanford Purnell Iii, - Medicare Clinical Social Worker in West Palm Beach, FL