Mr Stanley Robert Bryant Iii, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. 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 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 1760913404.
Healthcare Provider's Profile
| Full Name | Mr Stanley Robert Bryant Iii |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 234 Amy Ave, Louisville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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: I20241002003316
Medical Identifiers
Medical identifiers for Mr Stanley Robert Bryant Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 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. Mr Stanley Robert Bryant Iii allows following entities to bill medicare on his behalf.
| Entity Name | Shawnee Christian Healthcare Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225333743
PECOS PAC ID: 8921280926
Enrollment ID: O20110312000044 |
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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 |
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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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