Jeffery Sturdivan, LCSW in Maryville, MO - Medicare Clinical Social Worker Provider

Jeffery Sturdivan, LCSW is a medicare enrolled "Social Worker" provider in Maryville, Missouri. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mosaic Medical Center - Maryville, Burrell, Inc. and his current practice location is 114 E South Hills Dr, Maryville, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 562-2525.

Jeffery Sturdivan is licensed to practice in Missouri (license number 2016029995) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275081499.

Contact Information

	Jeffery Sturdivan, LCSW
	114 E South Hills Dr, Maryville, MO 64468-2659
	(660) 562-2525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffery Sturdivan
Gender	Male
Speciality	Clinical Social Worker
Experience	10 Years
Location	114 E South Hills Dr, Maryville, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffery Sturdivan graduated from medical school in 2014

NPI Data:

NPI Number: 1275081499
Provider Enumeration Date: 09/16/2016
Last Update Date: 06/25/2020

Medicare PECOS Information:

PECOS PAC ID: 6305268970
Enrollment ID: I20200629000305

Medical Identifiers

Medical identifiers for Jeffery Sturdivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275081499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2018031632 (Missouri)	Secondary
104100000X	Social Worker	2016029995 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mosaic Medical Center - Maryville	3678813896	76
Burrell, Inc.	4486548625	155

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. Jeffery Sturdivan allows following entities to bill medicare on his behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

Entity Name	Mosaic Medical Center - Maryville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537

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. Jeffery Sturdivan 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
Jeffery Sturdivan, LCSW 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525	Jeffery Sturdivan, LCSW 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525

Reviews and Comments

Social Worker in Maryville, MO

Vicki Lee Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303
Christine Marie Jacobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 W Edwards St, Maryville, MO 64468 Phone: 660-254-1812
Ms. Michelle Ann Jones, MSW, CADC, QMHP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 423 N Market St, Maryville, MO 64468 Phone: 660-562-3000 Fax: 660-562-3002
Mrs. Pamela Peve Alford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 S Dewey St, Maryville, MO 64468 Phone: 660-582-6470 Fax: 660-582-4271
Susan L Ecker, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2416 S Main St, Maryville, MO 64468 Phone: 660-562-2352 Fax: 660-562-2933
Lisa L Christmas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1429 S Munn Ave, Maryville, MO 64468 Phone: 660-562-3255

Jeffery Sturdivan, LCSW - Medicare Clinical Social Worker in Maryville, MO