Evan Thomas Stout, in Golden, CO - Medicare Physician Assistant

Evan Thomas Stout, is a medicare enrolled "Physician Assistant" in Golden, Colorado. His current practice location is 13907 W 22nd Ave, Golden, Colorado. You can reach out to his office (for appointments etc.) via phone at (302) 690-8855.

Evan Thomas Stout is licensed to practice in * (Not Available) (license number ) 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 1639954142.

Contact Information

	Evan Thomas Stout,
	13907 W 22nd Ave, Golden, CO 80401-6820
	(302) 690-8855
	Not Available

Map and Direction

Provider's Profile

Full Name	Evan Thomas Stout
Gender	Male
Speciality	Physician Assistant
Location	13907 W 22nd Ave, Golden, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639954142
Provider Enumeration Date: 08/31/2023
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2668813809
Enrollment ID: I20240517003551

Medical Identifiers

Medical identifiers for Evan Thomas Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639954142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Evan 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
Evan Thomas Stout, 13907 W 22nd Ave, Golden, CO 80401-6820 Ph: (302) 690-8855	Evan Thomas Stout, 13907 W 22nd Ave, Golden, CO 80401-6820 Ph: (302) 690-8855

Reviews and Comments

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Evan Thomas Stout, - Medicare Physician Assistant in Golden, CO