Penny Stout, RN APRN | |
311 Trent Drive, Durham, NC 27705 | |
(919) 681-2237 | |
(919) 681-8521 |
Full Name | Penny Stout |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 311 Trent Drive, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376692384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 106077 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Penny Stout, RN APRN 4925 Wineberry Dr, Durham, NC 27713-2377 Ph: (919) 943-9407 | Penny Stout, RN APRN 311 Trent Drive, Durham, NC 27705 Ph: (919) 681-2237 |
Dr. Michael Healy Ward, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 | |
Lydia Darlud Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Rebecca Sara Rich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-5345 | |
Heston Channing Lamar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2645 Meridian Pkwy Ste 323, Durham, NC 27713 Phone: 984-227-8902 | |
Charles Gerardo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Benjamin Louis Oshlag, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-5537 Fax: 919-681-8521 | |
Joy Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 |