Michael Tyler Stout, MD - Medicare Anesthesiology in Jackson, MS

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Michael Tyler Stout, MD is a medicare enrolled "Anesthesiology" physician in Jackson, Mississippi. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2011 and has 13 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center, Physicians Anesthesia Group, P.a. and his current practice location is 1151 N State St Ste 311, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 969-1171.

Michael Tyler Stout is licensed to practice in Mississippi (license number 23817) 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 1679863633.

Contact Information

Michael Tyler Stout, MD
1151 N State St Ste 311,
Jackson, MS 39202-2407
(601) 969-1171
Not Available

Map and Direction




Physician's Profile

Full NameMichael Tyler Stout
GenderMale
SpecialityAnesthesiology
Experience13 Years
Location1151 N State St Ste 311, Jackson, Mississippi
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:
  • Michael Tyler Stout attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2011
  NPI Data:
  • NPI Number: 1679863633
  • Provider Enumeration Date: 04/12/2011
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153568969
  • Enrollment ID: I20150727002007

Medical Identifiers

Medical identifiers for Michael Tyler Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679863633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 67910 (Tennessee)Secondary
207L00000XAnesthesiology 23817 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036782
Physicians Anesthesia Group, P.a.610380686443

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 Tyler Stout allows following entities to bill medicare on his behalf.
Entity NameJackson Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780737577
PECOS PAC ID: 3870585904
Enrollment ID: O20040331000285
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NameAnesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750300836
PECOS PAC ID: 4486637881
Enrollment ID: O20040608000711
Entity NamePhysicians Anesthesia Group, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407890783
PECOS PAC ID: 6103806864
Enrollment ID: O20040722001098
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameResource Anesthesiology Associates Of Tn Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316724073
PECOS PAC ID: 8527419092
Enrollment ID: O20240111002755

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 Tyler 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
Michael Tyler Stout, MD
1151 N State St Ste 311,
Jackson, MS 39202-2407

Ph: (601) 969-1171		Michael Tyler Stout, MD
1151 N State St Ste 311,
Jackson, MS 39202-2407

Ph: (601) 969-1171

Reviews and Comments


Anesthesiology Doctors in Jackson, MS

Stephen Commiskey, M.D.
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5900    Fax: 601-984-5939
Jessica Safley, MD
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5900    Fax: 601-984-5939
Dr. Larkin H Mitchell, M.D.
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5900    
Dr. Daniel Castillo, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Dept Of Anesthesiology, Jackson, MS 39216
Phone: 601-984-5900    Fax: 601-984-5939
Edwin P Sudduth, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 971 Lakeland Dr, Suite 202, Jackson, MS 39216
Phone: 601-362-1990    Fax: 601-362-1988
Dr. Melissa Johnson Pippin, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 901-270-4898    
Dr. Martha Elizabeth Fernandez, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5900    

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.

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