Mr Stanley Robert Bryant Iii, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. He graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
234 Amy Ave, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 778-0001.
Mr Stanley Robert Bryant Iii is licensed to practice in Kentucky (license number 259185) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1760913404.
Healthcare Provider's Profile
| Full Name | Mr Stanley Robert Bryant Iii |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 234 Amy Ave, Louisville, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stanley Robert Bryant Iii graduated from medical school in 2021
NPI Data:
- NPI Number: 1760913404
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668903568
- Enrollment ID: I20250710003813
Medical Identifiers
Medical identifiers for Mr Stanley Robert Bryant Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760913404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 272984 (Kentucky) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34011370A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 259185 (Kentucky) | 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. Mr Stanley Robert Bryant 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 |
|---|
Mr Stanley Robert Bryant Iii, LCSW, LCADC
234 Amy Ave,
Louisville, KY 40212-2522
Ph: (502) 778-0001 | Mr Stanley Robert Bryant Iii, LCSW, LCADC
234 Amy Ave,
Louisville, KY 40212-2522
Ph: (502) 778-0001 |
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