Dr Jacob Morgan Stout, MD | |
92 Campus Dr, Scarborough, ME 04074-7228 | |
(207) 662-0111 | |
Not Available |
Full Name | Dr Jacob Morgan Stout |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 92 Campus Dr, Scarborough, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184111916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD27028 (Maine) | Primary |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Maine Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992719272 PECOS PAC ID: 9335043967 Enrollment ID: O20050901000035 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Morgan Stout, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5514 | Dr Jacob Morgan Stout, MD 92 Campus Dr, Scarborough, ME 04074-7228 Ph: (207) 662-0111 |
Dr. Jason Alan Helis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-883-1414 | |
Dr. Benjamin James Drapcho, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 92 Campus Dr Fl 2, Scarborough, ME 04074 Phone: 207-883-1414 | |
Peter Y. Kang, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 Phone: 207-303-0022 Fax: 207-303-0023 | |
John R Belden, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 49 Spring St, 2nd Floor, Scarborough, ME 04074 Phone: 207-883-1414 Fax: 207-883-1518 | |
Heidi L Henninger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, 2nd Floor, Scarborough, ME 04074 Phone: 207-883-1414 Fax: 207-883-1518 | |
Diana Jeanne Goodman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 49 Spring St, Scarborough, ME 04074 Phone: 207-883-1414 Fax: 207-883-1010 |