Brandon Thomas Stout, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glendale, Wisconsin. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Froedtert Memorial Lutheran Hospital, Inc. and his current practice location is
475 W River Woods Pkwy, Glendale, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 961-6800.
Brandon Thomas Stout is licensed to practice in Wisconsin (license number 128013) 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 1144876780.
Provider's Profile
| Full Name | Brandon Thomas Stout |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 475 W River Woods Pkwy, Glendale, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandon Thomas Stout graduated from nursing school in 2019
NPI Data:
- NPI Number: 1144876780
- Provider Enumeration Date: 08/09/2019
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890025068
- Enrollment ID: I20191001003239
Medical Identifiers
Medical identifiers for Brandon Thomas Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144876780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 220296-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 128013 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Froedtert Memorial Lutheran Hospital, Inc. | 1456342682 | 55 |
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. Brandon Thomas Stout allows following entities to bill medicare on his behalf.
| Entity Name | Froedtert Memorial Lutheran Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255334173
PECOS PAC ID: 1456342682
Enrollment ID: O20040518001180 |
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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. Brandon Thomas 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 Address | Practice Location Address |
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Brandon Thomas Stout, CRNA
3872 E Van Norman Ave,
Cudahy, WI 53110-1228
Ph: (414) 617-8160 | Brandon Thomas Stout, CRNA
475 W River Woods Pkwy,
Glendale, WI 53212-1081
Ph: (414) 961-6800 |
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