Michael David Stout, AA | |
9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | |
(414) 805-8700 | |
(414) 259-1522 |
Full Name | Michael David Stout |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 9 Years |
Location | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255403812 | NPI | - | NPPES |
1255403812 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 74017 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jupiter Medical Center | Jupiter, FL | Hospital |
Methodist Hospitals Inc | Gary, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jupiter Anesthesia Associates Llc | 0547348211 | 63 |
Anesthesia Dynamics Llc | 3779832530 | 379 |
Entity Name | Jupiter Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
Mailing Address | Practice Location Address |
---|---|
Michael David Stout, AA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 | Michael David Stout, AA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 |
Justin Michael Cole, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Mackenzie Lynn Reid, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Aysha T Muhammad, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Anjali Rajan Menon, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Joseph Shaoul, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-2000 | |
Mrs. Lea Van Heule, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 231-288-3155 | |
Sarah Anderson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 |