Terry Stambaugh, LCSW in Moline, IL - Medicare Social Worker Provider

Terry Stambaugh, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Moline, Illinois. His current practice location is 4600 3rd St, Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 779-2018.

Terry Stambaugh is licensed to practice in Illinois (license number 149018309) 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 1417317066.

Contact Information

	Terry Stambaugh, LCSW
	4600 3rd St, Moline, IL 61265-6106
	(309) 779-2018
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Stambaugh
Gender	Male
Speciality	Social Worker - Clinical
Location	4600 3rd St, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417317066
Provider Enumeration Date: 02/24/2016
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2769776988
Enrollment ID: I20160811000956

Medical Identifiers

Medical identifiers for Terry Stambaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417317066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149018309 (Illinois)	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. Terry Stambaugh allows following entities to bill medicare on his behalf.

Entity Name	Trinity Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016

Entity Name	The Robert Young Center For Community Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912158494 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245

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. Terry Stambaugh 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
Terry Stambaugh, LCSW 1829 4th Ave Apt 406, Rock Island, IL 61201-8155 Ph: (309) 292-2033	Terry Stambaugh, LCSW 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2018

Reviews and Comments

Social Worker in Moline, IL

Ms. Joan Timmermann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031
Ms. Rosemary Jordan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 52nd Ave, Moline, IL 61265 Phone: 309-797-2900 Fax: 309-797-2417
Rebekah Ann Clark, LPHA,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027
Tammi A White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 3rd Street, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027
Olivia R Carrow, LCSW, LPHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2326 16th St, Moline, IL 61265 Phone: 309-283-1203
Ms. Linda Wright-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031
Ms. Roxanne Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031

Terry Stambaugh, LCSW - Medicare Clinical Social Worker in Moline, IL