| Lyndal E Stoutin, MD | |
|
2841 Juniper Dr, Lewiston, ID 83501-4719 | |
| (208) 743-9712 | |
| (208) 298-0212 |
| Full Name | Lyndal E Stoutin |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 40 Years |
| Location | 2841 Juniper Dr, Lewiston, Idaho |
| 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 |
|---|---|---|---|
| 1245240761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | M-5693 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| St Mary's Hospital | Cottonwood, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-state Memorial Hospital | 4082502422 | 33 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760485221 PECOS PAC ID: 4082502422 Enrollment ID: O20061104000320 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Dr. Craig G Flinders, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2841 Juniper Dr, Lewiston, ID 83501 Phone: 208-743-9712 Fax: 208-298-0212 |