Mark J Stout, MD - Medicare Cardiac Surgery in Waukesha, WI

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Mark J Stout, MD is a medicare enrolled "Transplant Surgery" physician in Waukesha, Wisconsin. He went to Saint Louis University School Of Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 725 American Ave, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 263-1530.

Mark J Stout is licensed to practice in Wisconsin (license number 62383) 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 1851386551.

Contact Information

Mark J Stout, MD
725 American Ave,
Waukesha, WI 53188-5031
(608) 263-1530
Not Available

Map and Direction




Physician's Profile

Full NameMark J Stout
GenderMale
SpecialityCardiac Surgery
Experience40 Years
Location725 American Ave, Waukesha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark J Stout attended and graduated from Saint Louis University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1851386551
  • Provider Enumeration Date: 09/19/2005
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426025420
  • Enrollment ID: I20140610001515

Medical Identifiers

Medical identifiers for Mark J Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851386551NPI-NPPES
P01027332OtherINRAILROAD MEDICARE
000001005823OtherINANTHEM PROVIDER NUMBER FOR TIN 35-2030653
036080105MedicaidIL
01605360OtherILBCBS PROVIDER ID
201019900MedicaidIN
780000280OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01069517A (Indiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 62383 (Wisconsin)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036080105 (Illinois)Secondary
204F00000XTransplant Surgery 62383 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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. Mark J Stout allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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. Mark J 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 AddressPractice Location Address
Mark J Stout, MD
725 American Ave,
Waukesha, WI 53188-5031

Ph: () -		Mark J Stout, MD
725 American Ave,
Waukesha, WI 53188-5031

Ph: (608) 263-1530

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.