Brandon Stout, in Salt Lake City, UT - Medicare Marriage & Family Therapist Provider

Brandon Stout, is a medicare enrolled "Marriage & Family Therapist" provider in Salt Lake City, Utah. His current practice location is 4460 S Highland Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (888) 949-4864.

Brandon Stout is licensed to practice in Utah (license number 347625-3904) 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 1700451044.

Contact Information

	Brandon Stout,
	4460 S Highland Dr, Salt Lake City, UT 84124-3543
	(888) 949-4864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Stout
Gender	Male
Speciality	Marriage & Family Therapist
Location	4460 S Highland Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700451044
Provider Enumeration Date: 05/20/2021
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2567997968
Enrollment ID: I20241121003691

Medical Identifiers

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

Identifier	Type	State	Issuer
1700451044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	347625-3904 (Utah)	Primary
104100000X	Social Worker	(* (Not Available))	Secondary

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. Brandon Stout allows following entities to bill medicare on his behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

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. Brandon 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
Brandon Stout, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864	Brandon Stout, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (888) 949-4864

Reviews and Comments

Marriage & Family Therapist in Salt Lake City, UT

Dr. Robert Bagley, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 32 W Winchester St, Suite 101, Salt Lake City, UT 84107 Phone: 801-263-6367 Fax: 801-263-6370
Chelsy Jane Bundy, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100
Shawna Kay Henry, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 S 400 E Ste 300, Salt Lake City, UT 84111 Phone: 801-704-5066
Juliet Dowdle, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr, Salt Lake City, UT 84124 Phone: 801-263-7169
Gregory Dalessio Iii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 30995, Salt Lake City, UT 84130 Phone: 800-633-4227
Susan L. Johnson, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2936 Lake Mary Dr, Salt Lake City, UT 84121 Phone: 801-860-9627 Fax: 801-266-4944
Mariah Brockman, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7138

Brandon Stout, - Medicare Couples Therapy in Salt Lake City, UT