Emily Stout, LCSW, SAC-IT in Jefferson, WI - Medicare Social Worker Provider

Emily Stout, LCSW, SAC-IT is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, Wisconsin. Her current practice location is 1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 674-8123.

Emily Stout is licensed to practice in * (Not Available) (license number ) 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 1457984254.

Contact Information

	Emily Stout, LCSW, SAC-IT
	1541 Annex Rd, Jefferson, WI 53549-9803
	(920) 674-8123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Stout
Gender	Female
Speciality	Social Worker - Clinical
Location	1541 Annex Rd, Jefferson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457984254
Provider Enumeration Date: 02/20/2020
Last Update Date: 02/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3072928944
Enrollment ID: I20221104002633

Medical Identifiers

Medical identifiers for Emily Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457984254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Emily Stout allows following entities to bill medicare on her behalf.

Entity Name	Jefferson County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371

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. Emily Stout 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
Emily Stout, LCSW, SAC-IT 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: () -	Emily Stout, LCSW, SAC-IT 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-8123

Reviews and Comments

Social Worker in Jefferson, WI

Christine Richards-pagel, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Ms. Rabecca Catherine Cole, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113
Suzanne A Monda, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 W Linden Dr Ste A, Jefferson, WI 53549 Phone: 920-674-6688
Ms. Katherine Sue Drechsler, MSW, LCSW-SA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Road, Jefferson, WI 53549 Phone: 920-674-8107
Sara Kay Zwieg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Lisa Dunham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-7424 Fax: 920-674-7409
Michele Bahl, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113

Emily Stout, LCSW, SAC-IT - Medicare Clinical Social Worker in Jefferson, WI