Ms Dana Mary Stout, APNP | |
7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | |
(414) 325-7246 | |
(414) 325-3770 |
Full Name | Ms Dana Mary Stout |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 7401 104th Avenue, Suite 110, Kenosha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811379225 | NPI | - | NPPES |
13577846 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 158976 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 6479-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Orthopaedics Sc | 3375445497 | 19 |
Entity Name | Advanced Pain Management Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20031209000560 |
Entity Name | Comprehensive Orthopaedics Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295717445 PECOS PAC ID: 3375445497 Enrollment ID: O20040121000174 |
Mailing Address | Practice Location Address |
---|---|
Ms Dana Mary Stout, APNP 7401 104th Ave Ste 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142-7845 Ph: (262) 764-5595 | Ms Dana Mary Stout, APNP 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 Ph: (414) 325-7246 |
Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714 | |
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044 | |
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700 | |
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903 | |
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180 | |
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560 |