Lyndal E Stoutin, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lewiston, Idaho. He went to Southern Illinois University School Of Medicine and graduated in 1986 and has 40 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Tri-state Memorial Hospital and his current practice location is
2841 Juniper Dr, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 743-9712.
Lyndal E Stoutin is licensed to practice in Idaho (license number M-5693) 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 1245240761.
Physician's Profile
| Full Name | Lyndal E Stoutin |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 40 Years |
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| Location | 2841 Juniper Dr, Lewiston, Idaho |
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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:
- Lyndal E Stoutin attended and graduated from Southern Illinois University School Of Medicine in 1986
NPI Data:
- NPI Number: 1245240761
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 01/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254326564
- Enrollment ID: I20061026000649
Medical Identifiers
Medical identifiers for Lyndal E Stoutin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245240761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | M-5693 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tri-state Memorial Hospital | 4082502422 | 33 |
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. Lyndal E Stoutin allows following entities to bill medicare on his behalf.
| Entity Name | Tri-state Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040308001123 |
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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. Lyndal E Stoutin 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 |
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Lyndal E Stoutin, MD
2841 Juniper Dr,
Lewiston, ID 83501-4719
Ph: (208) 743-9712 | Lyndal E Stoutin, MD
2841 Juniper Dr,
Lewiston, ID 83501-4719
Ph: (208) 743-9712 |
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