Dr Adam Miles Sturdevant, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Green Bay, Wisconsin. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1457585614
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Adam Miles Sturdevant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 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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