Ian James Stout, DPT, ATC | |
300 Lackawanna Ave, Scranton, PA 18503-2001 | |
(570) 209-7604 | |
Not Available |
Full Name | Ian James Stout |
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Gender | Male |
Speciality | Physical Therapist |
Location | 300 Lackawanna Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811465941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT027378 (Pennsylvania) | Primary |
Provider Name | Geisinger Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Ian James Stout, DPT, ATC 1915 Englewood Ter, Forty Fort, PA 18704-4321 Ph: (570) 259-7087 | Ian James Stout, DPT, ATC 300 Lackawanna Ave, Scranton, PA 18503-2001 Ph: (570) 209-7604 |
Daniel Alexander Dolphin, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Lackawanna Ave, Scranton, PA 18503 Phone: 570-344-0705 | |
Esther G Mackarey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 240 Penn Ave, Scranton, PA 18503 Phone: 570-558-0290 Fax: 570-558-0291 | |
Suzanne Coleen Zukoski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Adams Ave, Holy Family Residence, Scranton, PA 18509 Phone: 570-342-7180 | |
Melissa Ann Henzes-dolhon, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 327 N Washington Ave, Suite 703, Scranton, PA 18503 Phone: 570-346-1570 Fax: 570-346-1708 | |
Ms. Barbara Jean Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Adams Ave, Scranton, PA 18509 Phone: 570-343-4065 Fax: 570-343-0448 | |
Mrs. Carol Pacifico, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-770-5365 Fax: 570-770-5366 | |
Janice Beck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8156 |