Mrs Stacy Renee' Trout, PA-C is a medicare enrolled "Physician Assistant" in Larned, Kansas. Her current practice location is
923 Carroll Ave, Larned, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 285-3161.
Mrs Stacy Renee' Trout is licensed to practice in Kansas (license number 15-01259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679782742.
Provider's Profile
Full Name | Mrs Stacy Renee' Trout |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 923 Carroll Ave, Larned, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679782742
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 01/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 3779676085
- Enrollment ID: I20090331000114
Medical Identifiers
Medical identifiers for Mrs Stacy Renee' Trout such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679782742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 15-01259 (Kansas) | 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. Mrs Stacy Renee' Trout 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 |
Mrs Stacy Renee' Trout, PA-C 923 Carroll Ave, Larned, KS 67550-2429 Ph: () - | Mrs Stacy Renee' Trout, PA-C 923 Carroll Ave, Larned, KS 67550-2429 Ph: (620) 285-3161 |
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