Shawn M Stout, PA-C | |
714 N Senate Ave Ste 120, Indianapolis, IN 46202-3297 | |
(317) 963-0555 | |
Not Available |
Full Name | Shawn M Stout |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 13 Years |
Location | 714 N Senate Ave Ste 120, Indianapolis, Indiana |
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 |
---|---|---|---|
1093098295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 99048634 (Indiana) | Secondary |
363A00000X | Physician Assistant | 10001338A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health | Indianapolis, IN | Hospital |
Indiana University Health North Hospital | Carmel, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Care Associates Inc | 5799755864 | 905 |
Mailing Address | Practice Location Address |
---|---|
Shawn M Stout, PA-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Shawn M Stout, PA-C 714 N Senate Ave Ste 120, Indianapolis, IN 46202-3297 Ph: (317) 963-0555 |
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James Braden Millward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd Mpc2#330, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 | |
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