Samantha Stout, CPNP in Norfolk, VA - Medicare Nurse Practitioner

Samantha Stout, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Norfolk, Virginia. Her current practice location is 601 Childrens Ln, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-9646.

Samantha Stout is licensed to practice in Virginia (license number 0024171556) 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 1285008268.

Contact Information

	Samantha Stout, CPNP
	601 Childrens Ln, Norfolk, VA 23507-1910
	(757) 668-9646
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Stout
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	601 Childrens Ln, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285008268
Provider Enumeration Date: 11/13/2015
Last Update Date: 11/13/2015

Medicare PECOS Information:

PECOS PAC ID: 6103121686
Enrollment ID: I20160222000608

Medical Identifiers

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

Identifier	Type	State	Issuer
1285008268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	0024171556 (Virginia)	Primary

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. Samantha Stout allows following entities to bill medicare on her behalf.

Entity Name	Children's Surgical Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245248947 PECOS PAC ID: 0244288470 Enrollment ID: O20050315000329

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. Samantha 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
Samantha Stout, CPNP 314 Bartell Dr, Chesapeake, VA 23322-5510 Ph: (804) 337-0364	Samantha Stout, CPNP 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-9646

Reviews and Comments

Nurse Practitioner Nurses in Norfolk, VA

Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441
Cecille M Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196
Mrs. Ursula Julianna Pretorius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311
Katharine Anne Strohecker, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 8630b, Norfolk, VA 23507 Phone: 757-388-6115 Fax: 757-275-9998

Samantha Stout, CPNP - Medicare Nurse Practitioner in Norfolk, VA