Dr Timothy Mark Stout, MD is a medicare enrolled "Ophthalmology" physician in Harriman, Tennessee. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Care Centers Pllc and his current practice location is
1798 Roane State Hwy, Harriman, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 882-7470.
Dr Timothy Mark Stout is licensed to practice in Tennessee (license number MD68554) 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 1316930688.
Physician's Profile
| Full Name | Dr Timothy Mark Stout |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 29 Years |
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| Location | 1798 Roane State Hwy, Harriman, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy Mark Stout attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1995
NPI Data:
- NPI Number: 1316930688
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577666247
- Enrollment ID: I20231017000363
Medical Identifiers
Medical identifiers for Dr Timothy Mark Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316930688 | NPI | - | NPPES |
| 180041349 | Other | | RAILROAD MEDICARE |
| 180041348 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | MD108395 (Missouri) | Secondary |
| 207W00000X | Ophthalmology | 0429147 (Kansas) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 04-29147 (Kansas) | Secondary |
| 207W00000X | Ophthalmology | MD68554 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Care Centers Pllc | 8325011059 | 8 |
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. Dr Timothy Mark Stout allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793 |
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| Entity Name | Eye Care Centers Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700946480
PECOS PAC ID: 8325011059
Enrollment ID: O20040819000472 |
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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. Dr Timothy Mark 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 |
|---|
Dr Timothy Mark Stout, MD
1798 Roane State Hwy,
Harriman, TN 37748-8305
Ph: (865) 882-7470 | Dr Timothy Mark Stout, MD
1798 Roane State Hwy,
Harriman, TN 37748-8305
Ph: (865) 882-7470 |
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