Derek Russell Stout, DO in Hickory, NC - Medicare Anesthesiology

Derek Russell Stout, DO is a medicare enrolled "Anesthesiology" physician in Hickory, North Carolina. His current practice location is 810 Fairgrove Church Rd, Hickory, North Carolina. You can reach out to his office (for appointments etc.) via phone at (855) 968-8233.

Derek Russell Stout is licensed to practice in North Carolina (license number 2022-01044) 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 1336593839.

Contact Information

	Derek Russell Stout, DO
	810 Fairgrove Church Rd, Hickory, NC 28602-9617
	(855) 968-8233
	(866) 502-1008

Map and Direction

Physician's Profile

Full Name	Derek Russell Stout
Gender	Male
Speciality	Anesthesiology
Location	810 Fairgrove Church Rd, Hickory, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336593839
Provider Enumeration Date: 04/20/2016
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0143577544
Enrollment ID: I20221013002765

Medical Identifiers

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

Identifier	Type	State	Issuer
1336593839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	21104 (New Hampshire)	Secondary
207L00000X	Anesthesiology	2022-01044 (North Carolina)	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. Derek Russell Stout allows following entities to bill medicare on his behalf.

Entity Name	Western Piedmont Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134172604 PECOS PAC ID: 1759307317 Enrollment ID: O20051021000920

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. Derek Russell 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
Derek Russell Stout, DO Po Box 488, Conover, NC 28613-0488 Ph: (855) 968-8233	Derek Russell Stout, DO 810 Fairgrove Church Rd, Hickory, NC 28602-9617 Ph: (855) 968-8233

Reviews and Comments

Anesthesiology Doctors in Hickory, NC

Dr. Donald Hugh Brown Ii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Dr. James Palmer Wold, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Dr. Eric William Hanson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Dr. Newell Aldridge Daly, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 855-968-8233 Fax: 866-502-1008
Dr. Thomas Robert Moore, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Dr. Deloy Charles Oberlin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Peter Charles Gerst, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245

Derek Russell Stout, DO - Medicare Anesthesiology in Hickory, NC