Valerie L Stout, CNM is a medicare enrolled "Advanced Practice Midwife" in Summit, Illinois. Her current practice location is
7450 W 63rd St, Summit, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 458-0757.
Valerie L Stout is licensed to practice in Illinois (license number 209.008254) 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 1104844885.
Provider's Profile
| Full Name | Valerie L Stout |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 7450 W 63rd St, Summit, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104844885
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 05/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981742749
- Enrollment ID: I20110120001124
Medical Identifiers
Medical identifiers for Valerie L Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104844885 | NPI | - | NPPES |
| 1104844885 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 209.008254 (Illinois) | 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. Valerie L Stout allows following entities to bill medicare on her behalf.
| Entity Name | Access Community Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985 |
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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. Valerie L 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 |
|---|
Valerie L Stout, CNM
7450 W 63rd St,
Summit, IL 60501-1816
Ph: (708) 458-0757 | Valerie L Stout, CNM
7450 W 63rd St,
Summit, IL 60501-1816
Ph: (708) 458-0757 |
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