Mariah Elise Stout, RD - Medicare Dietitian in Ketchum, ID

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Mariah Elise Stout, RD is a medicare enrolled "Dietitian, Registered" provider in Ketchum, Idaho. Her current practice location is 100 Hospital Dr., Ketchum, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 727-8356.

Mariah Elise 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 1578116588.

Contact Information

Mariah Elise Stout, RD
100 Hospital Dr.,
Ketchum, ID 83340
(208) 727-8356
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMariah Elise Stout
GenderFemale
SpecialityDietitian, Registered
Location100 Hospital Dr., Ketchum, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578116588
  • Provider Enumeration Date: 07/18/2019
  • Last Update Date: 07/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4486088705
  • Enrollment ID: I20191219001445

Medical Identifiers

Medical identifiers for Mariah Elise Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578116588NPI-NPPES
86097797OtherCOMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (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. Mariah Elise Stout allows following entities to bill medicare on her behalf.
Provider NameSt Lukes Clinic - Wood River Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474

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. Mariah Elise 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 AddressPractice Location Address
Mariah Elise Stout, RD
100 Hospital Dr.,
Ketchum, ID 83340

Ph: () -		Mariah Elise Stout, RD
100 Hospital Dr.,
Ketchum, ID 83340

Ph: (208) 727-8356

Reviews and Comments


Dietitian, Registered in Ketchum, ID

Sarah Barnett Seppa, RD, LD, CDE
Dietitian
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Drive, Ketchum, ID 83340
Phone: 208-727-8356    Fax: 208-727-8357
Teresa Brennan, R.D.
Dietitian
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Dr, Ketchum, ID 83340
Phone: 208-727-8800    
Tina K Mcgrew, MS, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 128 Saddle Rd Suite 107, Ketchum, ID 83340
Phone: 208-928-4152    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.