Dr Adam Miles Sturdevant, PSYD is a
Psychologist - Clinical based in Green Bay, Wisconsin. Dr Adam Miles Sturdevant is licensed to practice in Wisconsin (license number 3638-57) and his current practice location is
1049 Dousman St, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 888-6868.
NPI number for Dr Adam Miles Sturdevant is 1457585614 and his current mailing address is 1049 Dousman St, Green Bay, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457585614.
Healthcare Provider's Profile
| Full Name | Dr Adam Miles Sturdevant |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1049 Dousman St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457585614
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 10/14/2020
Medical Identifiers
Medical identifiers for Dr Adam Miles Sturdevant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457585614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14358-130 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3638-57 (Wisconsin) | 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. Dr Adam Miles Sturdevant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Adam Miles Sturdevant, PSYD
1049 Dousman St,
Green Bay, WI 54303-3003
Ph: (920) 888-6868 | Dr Adam Miles Sturdevant, PSYD
1049 Dousman St,
Green Bay, WI 54303-3003
Ph: (920) 888-6868 |
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