Patrick Earl Stout, MD in Miami, OK

Patrick Earl Stout, MD is a medicare enrolled "Urology" physician in Miami, Oklahoma. He went to Wright State University Boonshoft School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Integris Ambulatory Care Corporation and his current practice location is 310 2nd Ave Sw, Ste. 208, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 540-7870.

Patrick Earl Stout is licensed to practice in Oklahoma (license number 19779) 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 1366415234.

Contact Information

	Patrick Earl Stout, MD
	310 2nd Ave Sw, Ste. 208, Miami, OK 74354-6743
	(918) 540-7870
	(918) 540-7394

Map and Direction

Physician's Profile

Full Name	Patrick Earl Stout
Gender	Male
Speciality	Urology
Experience	33 Years
Location	310 2nd Ave Sw, Miami, Oklahoma
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:

Patrick Earl Stout attended and graduated from Wright State University Boonshoft School Of Medicine in 1991

NPI Data:

NPI Number: 1366415234
Provider Enumeration Date: 02/09/2006
Last Update Date: 04/05/2017

Medicare PECOS Information:

PECOS PAC ID: 7315086261
Enrollment ID: I20091205000199

Medical Identifiers

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

Identifier	Type	State	Issuer
1366415234	NPI	-	NPPES
200468380S	Medicaid	OK
100044840A	Medicaid	OK
100270540A	Medicaid	KS
208578401	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	19779 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integris Miami Hospital	Miami, OK	Hospital
Integris Grove Hospital	Grove, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integris Ambulatory Care Corporation	2365408465	382

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. Patrick Earl Stout allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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. Patrick Earl 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
Patrick Earl Stout, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (918) 540-7870	Patrick Earl Stout, MD 310 2nd Ave Sw, Ste. 208, Miami, OK 74354-6743 Ph: (918) 540-7870

Patrick Earl Stout, MD - Medicare Urology in Miami, OK