Lyndal E Stoutin, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lewiston, Idaho. His current practice location is
2841 Juniper Dr, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 743-9712.
Lyndal E Stoutin is licensed to practice in Idaho (license number M-5693) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245240761.
Physician's Profile
Full Name | Lyndal E Stoutin |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 2841 Juniper Dr, Lewiston, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245240761
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 01/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254326564
- Enrollment ID: I20060330000708
Medical Identifiers
Medical identifiers for Lyndal E Stoutin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245240761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | M-5693 (Idaho) | Primary |
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. Lyndal E Stoutin allows following entities to bill medicare on his behalf.
Entity Name | Tri-state Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040911000031 |
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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. Lyndal E Stoutin 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 |
Lyndal E Stoutin, MD 2841 Juniper Dr, Lewiston, ID 83501-4719 Ph: (208) 743-9712 | Lyndal E Stoutin, MD 2841 Juniper Dr, Lewiston, ID 83501-4719 Ph: (208) 743-9712 |
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