Alan Stout, MD | |
612 N Patterson St, Valdosta, GA 31601-4610 | |
(706) 980-9975 | |
Not Available |
Full Name | Alan Stout |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 41 Years |
Location | 612 N Patterson St, Valdosta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205878386 | NPI | - | NPPES |
000320526G | Medicaid | GA | |
000320526H | Medicaid | GA | |
P00282948 | Other | GA | RAILROAD MEDICARE |
000320526F | Medicaid | GA | |
4130194 | Other | TN | BCBS OF TENNESSEE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 026664 (Georgia) | Secondary |
207Q00000X | Family Medicine | 026664 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgmc Physician Network Inc | 4082036843 | 112 |
Entity Name | Sgmc Physician Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
Mailing Address | Practice Location Address |
---|---|
Alan Stout, MD 612 N Patterson St, Valdosta, GA 31601-4610 Ph: (706) 980-9975 | Alan Stout, MD 612 N Patterson St, Valdosta, GA 31601-4610 Ph: (706) 980-9975 |
Dr. Jeri Lynn Sheffield, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3548b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-249-9299 Fax: 229-249-9799 | |
Mrs. Haley Nix, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3322 Greystone Way, Valdosta, GA 31605 Phone: 229-242-0331 | |
Anthony Wayne Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3207 Country Club Rd, Valdosta, GA 31605 Phone: 229-242-8480 Fax: 229-242-0070 | |
Vera C Garcia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4370 Kings Way Ste E, Valdosta, GA 31602 Phone: 229-247-7767 Fax: 229-247-7626 | |
Bennett P Hogan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 | |
Mr. Frederick H Fritzsche, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4280 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-671-2019 Fax: 229-671-2010 | |
Dr. Elizabeth Haslup Lowe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 347 Med Group, Flight Medicine, Moody Air Force Base, Valdosta, GA 31699 Phone: 229-257-2103 |