Lisa Elaine Stout, APRN-CNM is a medicare enrolled "Advanced Practice Midwife" in Altus, Oklahoma. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Jackson County Memorial Hospital Authority and her current practice location is
101 S Park Ln Ste 200, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 379-6140.
Lisa Elaine Stout is licensed to practice in Oklahoma (license number 50604) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952502064.
Provider's Profile
| Full Name | Lisa Elaine Stout |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 15 Years |
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| Location | 101 S Park Ln Ste 200, Altus, Oklahoma |
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| Accepts Medicare Assignments | Yes. She 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:
- Lisa Elaine Stout graduated from nursing school in 2009
NPI Data:
- NPI Number: 1952502064
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800987801
- Enrollment ID: I20200831001801
Medical Identifiers
Medical identifiers for Lisa Elaine Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952502064 | NPI | - | NPPES |
| 200924150A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 50604 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jackson County Memorial Hospital Authority | 1759293178 | 54 |
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. Lisa Elaine Stout allows following entities to bill medicare on her behalf.
| Entity Name | Jackson County Memorial Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093763781
PECOS PAC ID: 1759293178
Enrollment ID: O20031104000406 |
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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. Lisa Elaine 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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Lisa Elaine Stout, APRN-CNM
1200 E Pecan St,
Altus, OK 73521-6141
Ph: (580) 379-5000 | Lisa Elaine Stout, APRN-CNM
101 S Park Ln Ste 200,
Altus, OK 73521-5731
Ph: (580) 379-6140 |
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