Robert Stout, DMD in Ceres, CA - Medicare Dentist Provider

Robert Stout, DMD is a medicare enrolled "Dentist - General Practice" provider in Ceres, California. His current practice location is 1920 Memorial Dr, Ceres, California. You can reach out to his office (for appointments etc.) via phone at (209) 722-4842.

Robert Stout is licensed to practice in California (license number 109689) 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 1699413351.

Contact Information

	Robert Stout, DMD
	1920 Memorial Dr, Ceres, CA 95307-1827
	(209) 722-4842
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Stout
Gender	Male
Speciality	Dentist - General Practice
Location	1920 Memorial Dr, Ceres, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699413351
Provider Enumeration Date: 05/23/2022
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9830533892
Enrollment ID: I20240216004417

Medical Identifiers

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

Identifier	Type	State	Issuer
1699413351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	109689 (California)	Secondary
1223G0001X	Dentist - General Practice	109689 (California)	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. Robert Stout allows following entities to bill medicare on his behalf.

Entity Name	Golden Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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. Robert 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
Robert Stout, DMD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 722-4842	Robert Stout, DMD 1920 Memorial Dr, Ceres, CA 95307-1827 Ph: (209) 722-4842

Reviews and Comments

Dentist in Ceres, CA

Dr. Mital Mukesh Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2561 3rd St Ste B, Ceres, CA 95307 Phone: 209-538-9297
Dr. Tracy S Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2760 3rd Street, Suite A, Ceres, CA 95307 Phone: 209-537-4427 Fax: 209-537-4437
Ms. Katherine Anne Kucera, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3507 Morgan Rd, Ceres, CA 95307 Phone: 209-537-4673
Pawanjeet Singh Pannu, Dentist Medicare: Medicare Enrolled Practice Location: 1918 Glen Harbor Dr, Ceres, CA 95307 Phone: 718-594-2282
Pablo Madrigal Walle, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3100 E Service Rd, Ceres, CA 95307 Phone: 209-542-9921
Richard Z Chen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-541-3001 Fax: 209-538-1096
Dr. Alan Salvador Hernandez Lara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Service Rd Ste 101, Ceres, CA 95307 Phone: 209-542-9921

Robert Stout, DMD - Medicare Dentist in Ceres, CA