Elmer Hancock Stout, MD | |
930 W Wilson Ave, Mooresville, NC 28117-8811 | |
(704) 663-7500 | |
(704) 799-2613 |
Full Name | Elmer Hancock Stout |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 930 W Wilson Ave, Mooresville, North Carolina |
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 |
---|---|---|---|
1851370282 | NPI | - | NPPES |
898018 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23978 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iredell Home Health | Statesville, NC | Home health agency |
Gentiva Health Services | Hickory, NC | Home health agency |
Bayada Home Health Care, Inc | Salisbury, NC | Home health agency |
Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iredell Physician Network Llc | 0749345007 | 66 |
Entity Name | Iredell Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
Mailing Address | Practice Location Address |
---|---|
Elmer Hancock Stout, MD 930 W Wilson Ave, Mooresville, NC 28117-8811 Ph: (704) 663-7500 | Elmer Hancock Stout, MD 930 W Wilson Ave, Mooresville, NC 28117-8811 Ph: (704) 663-7500 |
Aileen Deng, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075 | |
Laila Noor Menon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Mooresville, NC 28117 Phone: 704-664-9506 | |
Patrick L. Fry, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Ste 140a, Mooresville, NC 28117 Phone: 704-663-4443 | |
Dr. Suraj Arora, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-384-7972 Fax: 704-384-7973 | |
Richard Krumdieck, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Road, Ste 101, Mooresville, NC 28117 Phone: 704-799-3946 Fax: 704-799-3956 | |
Dr. Stephen Peter Stowe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 East Center St, Suite A, Mooresville, NC 28115 Phone: 704-663-5090 Fax: 704-663-5502 | |
Dr. Smitha Reddy Pasula, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 W Wilson Ave, Mooresville, NC 28117 Phone: 704-663-7500 |