| Darrel L Stout, MD | |
|
1575 N Santa Fe Ave, Edmond, OK 73003-3638 | |
| (405) 285-0660 | |
| (405) 285-0659 |
| Full Name | Darrel L Stout |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 1575 N Santa Fe Ave, Edmond, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356362073 | NPI | - | NPPES |
| 14799 | Other | OK | LICENSE |
| 100258660A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14799 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Health | Oklahoma city, OK | Home health agency |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Mercy Oklahoma Ambulatory Services Llc | 9830447036 | 52 |
| Entity Name | Tulsa Emergency Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Medical Resource Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
| Entity Name | Mercy Oklahoma Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Darrel L Stout, MD 1575 N Santa Fe Ave, Edmond, OK 73003-3638 Ph: (405) 285-0660 | Darrel L Stout, MD 1575 N Santa Fe Ave, Edmond, OK 73003-3638 Ph: (405) 285-0660 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 | |
Julia Vang, APRN-CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 S Boulevard Ste 108, Edmond, OK 73013 Phone: 405-348-9904 Fax: 833-470-1448 |