| Dr Keith B Stout, M D | |
|
3480 College St, Beaumont, TX 77701-4612 | |
| (409) 813-1677 | |
| (409) 730-1399 |
| Full Name | Dr Keith B Stout |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 57 Years |
| Location | 3480 College St, Beaumont, Texas |
| 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 |
|---|---|---|---|
| 1053314393 | NPI | - | NPPES |
| 137850712 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E9428 (Texas) | Secondary |
| 208D00000X | General Practice | E9428 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Group Integrated Healthcare System, Pllc | 1557506383 | 29 |
| Entity Name | Diagnostic Group Integrated Healthcare System, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194061655 PECOS PAC ID: 1557506383 Enrollment ID: O20130328000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith B Stout, M D 3480 College St, Beaumont, TX 77701-4612 Ph: (409) 813-1677 | Dr Keith B Stout, M D 3480 College St, Beaumont, TX 77701-4612 Ph: (409) 813-1677 |
John Q.a. Webb Jr., M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 5220 Eastex Fwy, Beaumont, TX 77708 Phone: 409-924-8600 Fax: 409-924-8611 | |
Chad W Hammett, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 755 N. 11th Street, Suite P5200, Beaumont, TX 77702 Phone: 409-898-2994 Fax: 409-898-2592 | |
Mr. Nathan Russo Marchand, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 3030 North St, Suite 430, Beaumont, TX 77702 Phone: 409-899-2500 Fax: 409-898-7579 |