Eleanor Stout, DO is a
Student In An Organized Health Care Education/training Program physician based in Portsmouth, Virginia. Eleanor Stout is licensed to practice in * (Not Available) (license number ) and her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. She can be reached at her office (for appointments etc.) via phone at
(267) 804-3203.
NPI number for Eleanor Stout is 1336849439 and her current mailing address is 8210 Ardmore Ave, Wyndmoor, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336849439.
Physician's Profile
Full Name | Eleanor Stout |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336849439
- Provider Enumeration Date: 03/07/2023
- Last Update Date: 07/03/2024
Medical Identifiers
Medical identifiers for Eleanor Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336849439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0102208709 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Eleanor Stout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eleanor Stout, DO 8210 Ardmore Ave, Wyndmoor, PA 19038-8402 Ph: (267) 804-3203 | Eleanor Stout, DO 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (267) 804-3203 |
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