Marshall James Stout, MD | |
969 Lakeland Dr, Jackson, MS 39216-4606 | |
(601) 200-2000 | |
(706) 660-1454 |
Full Name | Marshall James Stout |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 969 Lakeland Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073555454 | NPI | - | NPPES |
09014778 | Medicaid | MS | |
0119630 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 07363 (Mississippi) | Primary |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
Entity Name | South Sunflower County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
Entity Name | Kings Daughters Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Mailing Address | Practice Location Address |
---|---|
Marshall James Stout, MD Po Box 22670, Jackson, MS 39225-2670 Ph: (800) 749-2940 | Marshall James Stout, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-2000 |
Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 | |
Dr. Melanie Fox, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Mohsin Saber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201 Phone: 601-984-5582 Fax: 601-984-5583 | |
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582 | |
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616 | |
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 Fax: 601-364-2600 | |
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 |