Charles Emmet Stout Jr, MD, PHD in Riverside, CA

Charles Emmet Stout Jr, MD, PHD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Riverside, California. He went to Loma Linda University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice California Neurointerventional Surgeons, Inc and his current practice location is 4445 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 338-4910.

Charles Emmet Stout Jr is licensed to practice in California (license number A100577) 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 1679770994.

Contact Information

	Charles Emmet Stout Jr, MD, PHD
	4445 Magnolia Ave, Riverside, CA 92501-4135
	(951) 338-4910
	(833) 996-0004

Map and Direction

Physician's Profile

Full Name	Charles Emmet Stout Jr
Gender	Male
Speciality	Diagnostic Radiology
Experience	22 Years
Location	4445 Magnolia Ave, Riverside, California
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:

Charles Emmet Stout Jr attended and graduated from Loma Linda University School Of Medicine in 2002

NPI Data:

NPI Number: 1679770994
Provider Enumeration Date: 06/29/2007
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6002094216
Enrollment ID: I20110616000605

Medical Identifiers

Medical identifiers for Charles Emmet Stout Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679770994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	A100577 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Community Hospital	Riverside, CA	Hospital
Riverside University Health System-medical Center	Moreno valley, CA	Hospital
Corona Regional Medical Center	Corona, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Neurointerventional Surgeons, Inc	2668717125	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. Charles Emmet Stout Jr allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360

Entity Name	California Neurointerventional Surgeons, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417315300 PECOS PAC ID: 2668717125 Enrollment ID: O20190103000009

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. Charles Emmet Stout Jr 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
Charles Emmet Stout Jr, MD, PHD 700 E Redlands Blvd # 714, Redlands, CA 92373-6109 Ph: (951) 338-4910	Charles Emmet Stout Jr, MD, PHD 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 338-4910

Reviews and Comments

Radiology Doctors in Riverside, CA

Danh Tien Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4334 Central Ave, Riverside, CA 92506 Phone: 951-682-7580 Fax: 951-682-1580
Dr. Nikhil C Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4361 Latham St, Riverside, CA 92501 Phone: 585-755-0523
Johnny Suh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-1000
Ardavan M Afshar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-755-3400 Fax: 951-788-3194
Gilbert H. Zimmerman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3400 Fax: 851-788-3194
Allison S. Yee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Dr. Pouyan Golshani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000

Charles Emmet Stout Jr, MD, PHD - Medicare Diagnostic Radiology in Riverside, CA