Jack Stout, CRNA in Mcallen, TX - Medicare Nurse Anesthetist, Certified Registered

Jack Stout, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mcallen, Texas. His current practice location is 222 E Ridge Rd, Suite 204, Mcallen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 632-6020.

Jack Stout is licensed to practice in Texas (license number 229533) 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 1104838234.

Contact Information

	Jack Stout, CRNA
	222 E Ridge Rd, Suite 204, Mcallen, TX 78503-1251
	(956) 632-6020
	(956) 630-6643

Map and Direction

Provider's Profile

Full Name	Jack Stout
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	222 E Ridge Rd, Mcallen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104838234
Provider Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2365425733
Enrollment ID: I20040608001194

Medical Identifiers

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

Identifier	Type	State	Issuer
1104838234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	229533 (Texas)	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. Jack Stout allows following entities to bill medicare on his behalf.

Entity Name	Guardian Angel Anesthesia Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932468931 PECOS PAC ID: 5799940912 Enrollment ID: O20120712000751

Entity Name	Northstar Anesthesia Ii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

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. Jack 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
Jack Stout, CRNA Po Box 1672, San Antonio, TX 78296-1672 Ph: (956) 632-6020	Jack Stout, CRNA 222 E Ridge Rd, Suite 204, Mcallen, TX 78503-1251 Ph: (956) 632-6020

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mcallen, TX

Vanessa Anais Sosa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3109 Helena Ave, Mcallen, TX 78503 Phone: 956-739-1719
Rogelio Magdiel Cantu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 W Expy 83, Mcallen, TX 78503 Phone: 956-632-4000
Stacy Tavarez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 W Expy 83, Mcallen, TX 78503 Phone: 956-632-4000
Marla J Hadeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 E Nolana Ave, Ste H, Mcallen, TX 78504 Phone: 956-682-4151 Fax: 956-682-4154
Nora J Coast, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4228 N Mccoll Rd, Mcallen, TX 78504 Phone: 956-682-4151 Fax: 956-682-4154
Jorge Alvarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1309 E Ridge Rd Ste 3, Mcallen, TX 78503 Phone: 956-631-7202 Fax: 956-631-3026

Jack Stout, CRNA - Medicare Nurse Anesthetist, Certified Registered in Mcallen, TX