Kerrick Louis Stout, MD in Dillingham, AK

Kerrick Louis Stout, MD is a medicare enrolled "Family Medicine" physician in Dillingham, Alaska. He went to University Of Louisville School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bristol Bay Area Health Corporation and his current practice location is 6000 Kanakanak Rd, Dillingham, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 842-5201.

Kerrick Louis Stout is licensed to practice in Alaska (license number 4902) 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 1710961172.

Contact Information

	Kerrick Louis Stout, MD
	6000 Kanakanak Rd, Dillingham, AK 99576
	(907) 842-5201
	(907) 842-9250

Map and Direction

Physician's Profile

Full Name	Kerrick Louis Stout
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	6000 Kanakanak Rd, Dillingham, Alaska
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:

Kerrick Louis Stout attended and graduated from University Of Louisville School Of Medicine in 1997

NPI Data:

NPI Number: 1710961172
Provider Enumeration Date: 11/30/2005
Last Update Date: 03/11/2015

Medicare PECOS Information:

PECOS PAC ID: 0648333492
Enrollment ID: I20100802000318

Medical Identifiers

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

Identifier	Type	State	Issuer
1710961172	NPI	-	NPPES
MD6411	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4902 (Alaska)	Primary
207Q00000X	Family Medicine	34237 (Kentucky)	Secondary
207P00000X	Emergency Medicine	34237 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bristol Bay Area Health Corporation	Dillingham, AK	Hospital
Meadowview Regional Medical Center	Maysville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bristol Bay Area Health Corporation	5890699920	59

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. Kerrick Louis Stout allows following entities to bill medicare on his behalf.

Entity Name	Bristol Bay Area Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998

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. Kerrick Louis 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
Kerrick Louis Stout, MD Po Box 130, Dillingham, AK 99576-0130 Ph: (907) 842-9218	Kerrick Louis Stout, MD 6000 Kanakanak Rd, Dillingham, AK 99576 Ph: (907) 842-5201

Reviews and Comments

Family Medicine Doctors in Dillingham, AK

Richard W Asher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99835 Phone: 907-842-5201 Fax: 907-842-9250
Arnold N.m.i. Loera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250
Catherine Jeanne Hyndman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250
Daniel James Oconnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250
Ronald Norbert Talaga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250
Barbara B Walis, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250
Barbara L Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-9217 Fax: 907-842-9250

Kerrick Louis Stout, MD - Medicare Family Practice in Dillingham, AK