Adrienne Stout, | |
1088 W Balitmore Pike, Suite 2104, Rhc 2, Media, PA 19063-5136 | |
(484) 227-0130 | |
Not Available |
Full Name | Adrienne Stout |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1088 W Balitmore Pike, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619430840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 032.0134120 (Vermont) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | OS024114 (Pennsylvania) | Primary |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
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Adrienne Stout, 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1632 | Adrienne Stout, 1088 W Balitmore Pike, Suite 2104, Rhc 2, Media, PA 19063-5136 Ph: (484) 227-0130 |
Dr. Pamela Rootenberg, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 35 Indian Spring Rd, Media, PA 19063 Phone: 610-891-9352 | |
William Joseph Hernz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 E Second St, First Floor, Media, PA 19063 Phone: 610-565-3587 Fax: 610-566-1287 | |
Dr. David A Thomas, DO, PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1088 W Baltimore Pike, Hcii Suite 2205, Media, PA 19063 Phone: 610-744-2960 Fax: 610-744-2420 | |
Dr. William J Oberfield, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 E Second St, Media, PA 19063 Phone: 610-565-9560 Fax: 610-565-8011 | |
Ms. Regina May Showell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 618 S. Old Middletown Road, Media, PA 19063 Phone: 610-872-1416 Fax: 610-872-1416 | |
Patricia Kent, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 W Sixth St Ste 303, Media, PA 19063 Phone: 610-566-0172 | |
Dr. Patrick Cleary, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 714 Hemlock Rd, Media, PA 19063 Phone: 267-753-0613 |