Jessica Stombaugh, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tulsa, Oklahoma. Her current practice location is
808 S Peoria Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 560-1300.
Jessica Stombaugh is licensed to practice in Oklahoma (license number 5015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487074787.
Healthcare Provider's Profile
| Full Name | Jessica Stombaugh |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 808 S Peoria Ave, Tulsa, Oklahoma |
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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: 1487074787
- Provider Enumeration Date: 04/24/2014
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759680366
- Enrollment ID: I20160504000127
Medical Identifiers
Medical identifiers for Jessica Stombaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487074787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5015 (Oklahoma) | 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. Jessica Stombaugh allows following entities to bill medicare on her behalf.
| Entity Name | Millennium Medical Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245286285
PECOS PAC ID: 6204730856
Enrollment ID: O20040105000859 |
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| Entity Name | Family & Children's Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023122439
PECOS PAC ID: 9830170687
Enrollment ID: O20040527000124 |
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| Entity Name | Viemed Clinical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528648227
PECOS PAC ID: 9830501543
Enrollment ID: O20220318000552 |
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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. Jessica Stombaugh 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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Jessica Stombaugh, LCSW
808 S Peoria Ave,
Tulsa, OK 74120-4427
Ph: (918) 560-1300 | Jessica Stombaugh, LCSW
808 S Peoria Ave,
Tulsa, OK 74120-4427
Ph: (918) 560-1300 |
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