Mandy C Stout, PA-C in Snellville, GA - Medicare Physician Assistant

Mandy C Stout, PA-C is a medicare enrolled "Physician Assistant - Medical" in Snellville, Georgia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northside Cv Professional Services Llc and her current practice location is 1700 Tree Ln, Suite 170, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 962-0399.

Mandy C Stout is licensed to practice in Georgia (license number 003919) 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 1578619219.

Contact Information

	Mandy C Stout, PA-C
	1700 Tree Ln, Suite 170, Snellville, GA 30078-6782
	(770) 962-0399
	(678) 252-3722

Map and Direction

Provider's Profile

Full Name	Mandy C Stout
Gender	Female
Speciality	Physician Assistant
Experience	22 Years
Location	1700 Tree Ln, Snellville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mandy C Stout graduated from nursing school in 2002

NPI Data:

NPI Number: 1578619219
Provider Enumeration Date: 01/26/2007
Last Update Date: 03/21/2008

Medicare PECOS Information:

PECOS PAC ID: 0143258699
Enrollment ID: I20050829000752

Medical Identifiers

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

Identifier	Type	State	Issuer
1578619219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	003919 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Cv Professional Services Llc	4880003771	49

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. Mandy C 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
Mandy C Stout, PA-C 755 Walther Rd, Lawrenceville, GA 30045-8725 Ph: (770) 962-0399	Mandy C Stout, PA-C 1700 Tree Ln, Suite 170, Snellville, GA 30078-6782 Ph: (770) 962-0399

Reviews and Comments

Physician Assistant Nurses in Snellville, GA

Ms. Donna Arthur, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-332-1234
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Mandy C Stout, PA-C - Medicare Physician Assistant in Snellville, GA