Conley Stout, MD | |
400 Fairview Heights Rd, Summersville, WV 26651-9308 | |
(304) 872-2891 | |
(304) 872-2080 |
Full Name | Conley Stout |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 400 Fairview Heights Rd, Summersville, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841759115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 32792 (West Virginia) | Primary |
Entity Name | Braxton County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
Entity Name | West Virginia Health Care Cooperative Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
Mailing Address | Practice Location Address |
---|---|
Conley Stout, MD 1 Medical Center Drive, Po Box 9238, Room 4601, Surgery, Morgantown, WV 26506 Ph: () - | Conley Stout, MD 400 Fairview Heights Rd, Summersville, WV 26651-9308 Ph: (304) 872-2891 |
Bandy B Mullins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-8404 Fax: 304-872-0409 | |
Dr. Benjamin Lee Hensley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5124 Fax: 304-872-0409 |