Ethan John Stout, PT, DPT in Hastings, NE - Medicare Physical Therapy Provider

Ethan John Stout, PT, DPT is a medicare enrolled "Physical Therapist" provider in Hastings, Nebraska. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physical Therapy And Sports Rehab Of Hastings Inc and his current practice location is 207 S Burlington Ave, Hastings, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 462-8824.

Ethan John Stout is licensed to practice in Nebraska (license number 3082) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144652017.

Contact Information

	Ethan John Stout, PT, DPT
	207 S Burlington Ave, Hastings, NE 68901-5905
	(402) 462-8824
	(402) 462-8017

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan John Stout
Gender	Male
Speciality	Physical Therapy
Experience	12 Years
Location	207 S Burlington Ave, Hastings, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan John Stout graduated from medical school in 2012

NPI Data:

NPI Number: 1144652017
Provider Enumeration Date: 08/02/2013
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0345557823
Enrollment ID: I20150916000416

Medical Identifiers

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

Identifier	Type	State	Issuer
1144652017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3082 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Therapy And Sports Rehab Of Hastings Inc	5890760086	8

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. Ethan John Stout allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy & Sports Rehab Of Hastings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730285180 PECOS PAC ID: 5890760086 Enrollment ID: O20150430002156

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. Ethan John 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
Ethan John Stout, PT, DPT 207 S Burlington Ave, Hastings, NE 68901-5905 Ph: (402) 462-8824	Ethan John Stout, PT, DPT 207 S Burlington Ave, Hastings, NE 68901-5905 Ph: (402) 462-8824

Reviews and Comments

Physical Therapist in Hastings, NE

Joshua Joseph Fitchner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2307 Osborne Dr W, Hastings, NE 68901 Phone: 402-462-2665 Fax: 402-462-2668
Mrs. Kristi Ann Kleinsasser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 W 94th St, Hastings, NE 68901 Phone: 402-744-2000
Mr. Mark Eric Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 207 S Burlington Ave, Hastings, NE 68901 Phone: 402-462-8824 Fax: 402-462-8017
Ms. Melissa Moos, PHYSICAL THRAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 W 94th St, Hastings, NE 68901 Phone: 402-744-2000
Kyle Shaffer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3601 Cimarron Plz Ste 100, Hastings, NE 68901 Phone: 402-463-2085 Fax: 402-463-2062
Mr. Brent Wade Weston, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 207 S Burlington Ave, Hastings, NE 68901 Phone: 402-462-8824 Fax: 402-462-8017
Infinity Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 N 6th Ave, Hastings, NE 68901 Phone: 402-461-2815 Fax: 866-728-9636

Ethan John Stout, PT, DPT - Medicare Physical Therapist in Hastings, NE