Dr Adam Miles Sturdevant, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Green Bay, Wisconsin. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
1049 Dousman St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 888-6868.
Dr Adam Miles Sturdevant is licensed to practice in Wisconsin (license number 3638-57) 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 1457585614.
Healthcare Provider's Profile
| Full Name | Dr Adam Miles Sturdevant |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 1049 Dousman St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Miles Sturdevant graduated from medical school in 2012
NPI Data:
- NPI Number: 1457585614
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092117523
- Enrollment ID: I20210707000979
Medical Identifiers
Medical identifiers for Dr Adam Miles Sturdevant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457585614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14358-130 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3638-57 (Wisconsin) | 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. Dr Adam Miles Sturdevant allows following entities to bill medicare on his behalf.
| Entity Name | Abg Wellness Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184087389
PECOS PAC ID: 0345536785
Enrollment ID: O20160909002340 |
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| Entity Name | Gateways Counseling Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811489206
PECOS PAC ID: 9638407786
Enrollment ID: O20190827002930 |
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| Entity Name | Neurofeedback Training Clinics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427758481
PECOS PAC ID: 5092172064
Enrollment ID: O20230606003246 |
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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. Dr Adam Miles Sturdevant 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 |
|---|
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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