Derek Stout, DO in Mattoon, IL - Medicare Emergency Medicine

Derek Stout, DO is a medicare enrolled "Emergency Medicine" physician in Mattoon, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 258-2551.

Derek Stout is licensed to practice in Illinois (license number 036-107399) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548376213.

Contact Information

	Derek Stout, DO
	1000 Health Center Dr, Mattoon, IL 61938-9261
	(217) 258-2551
	(217) 258-2256

Map and Direction

Physician's Profile

Full Name	Derek Stout
Gender	Male
Speciality	Emergency Medicine
Experience	24 Years
Location	1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Stout attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2000

NPI Data:

NPI Number: 1548376213
Provider Enumeration Date: 08/22/2006
Last Update Date: 01/08/2019

Medicare PECOS Information:

PECOS PAC ID: 1658269097
Enrollment ID: I20050906000529

Medical Identifiers

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

Identifier	Type	State	Issuer
1548376213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036-107399 (Illinois)	Secondary
207P00000X	Emergency Medicine	036-107399 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarah Bush Lincoln Health Center	Mattoon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sarah Bush Lincoln Health Center	5092614867	327

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 Stout allows following entities to bill medicare on his behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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 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 Stout, DO 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055	Derek Stout, DO 1000 Health Center Dr, Mattoon, IL 61938-9261 Ph: (217) 258-2551

Reviews and Comments

Emergency Medicine Doctors in Mattoon, IL

Joseph Burton, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Dwight Pentzien, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256
Aja Lystila, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr., Family Medicine, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904
Daniel Bommelje, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256
Dionte Wiggins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256
Lori Luther, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 Fax: 217-258-2256
Shane Cline, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551

Derek Stout, DO - Medicare Emergency Medicine in Mattoon, IL