Michael Dale Stouder, MD in Foothill Ranch, CA

Michael Dale Stouder, MD is a medicare enrolled "Family Medicine" physician in Foothill Ranch, California. His current practice location is 26795 Portola Pkwy, Foothill Ranch, California. You can reach out to his office (for appointments etc.) via phone at (949) 829-9403.

Michael Dale Stouder is licensed to practice in California (license number G56697) 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 1669575866.

Contact Information

	Michael Dale Stouder, MD
	26795 Portola Pkwy, Foothill Ranch, CA 92610
	(949) 829-9403
	(949) 829-9422

Map and Direction

Physician's Profile

Full Name	Michael Dale Stouder
Gender	Male
Speciality	Family Medicine
Location	26795 Portola Pkwy, Foothill Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669575866
Provider Enumeration Date: 09/06/2006
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 0244237279
Enrollment ID: I20061103000257

Medical Identifiers

Medical identifiers for Michael Dale Stouder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669575866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G56697 (California)	Secondary
207Q00000X	Family Medicine	G56697 (California)	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. Michael Dale Stouder allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Michael Dale Stouder 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
Michael Dale Stouder, MD 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 Ph: () -	Michael Dale Stouder, MD 26795 Portola Pkwy, Foothill Ranch, CA 92610 Ph: (949) 829-9403

Reviews and Comments

Family Medicine Doctors in Foothill Ranch, CA

Dr. Hamid Eskandari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26730 Towne Centre Dr Ste 102, Foothill Ranch, CA 92610 Phone: 949-559-5153
Dr. Samuel Sunshine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610 Phone: 949-460-9111 Fax: 949-460-9055
Dr. Benjamin Leong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26740 Towne Centre Dr Bldg C, Foothill Ranch, CA 92610 Phone: 949-588-9293 Fax: 949-588-0409
Ali Mor, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 26882 Towne Centre Dr, Foothill Ranch, CA 92610 Phone: 888-988-2800 Fax: 949-455-8515
Natalie Weber, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 26672 Portola Pkwy Ste 104, Foothill Ranch, CA 92610 Phone: 949-557-0750
Anjali Ranade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26672 Portola Pkwy Ste 104, Foothill Ranch, CA 92610 Phone: 949-557-0750
Michael Huang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26700 Towne Centre Dr, Suite 100, Foothill Ranch, CA 92610 Phone: 949-460-9111 Fax: 949-460-9055

Michael Dale Stouder, MD - Medicare Family Medicine in Foothill Ranch, CA