Maricarmen Stout Shields, MD in Pullman, WA

Maricarmen Stout Shields, MD is a medicare enrolled "Pediatrics" physician in Pullman, Washington. Her current practice location is 1205 Se Professional Mall Blvd Ste 104, Pullman, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 332-2605.

Maricarmen Stout Shields is licensed to practice in Washington (license number MD60853005) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831585538.

Contact Information

	Maricarmen Stout Shields, MD
	1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163-5423
	(509) 332-2605
	(509) 334-5754

Map and Direction

Physician's Profile

Full Name	Maricarmen Stout Shields
Gender	Female
Speciality	Pediatrics
Location	1205 Se Professional Mall Blvd Ste 104, Pullman, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831585538
Provider Enumeration Date: 04/09/2015
Last Update Date: 10/30/2018

Medicare PECOS Information:

PECOS PAC ID: 1355658816
Enrollment ID: I20150915003297

Medical Identifiers

Medical identifiers for Maricarmen Stout Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831585538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD60853005 (Washington)	Primary

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. Maricarmen Stout Shields 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
Maricarmen Stout Shields, MD 840 Se Bishop Blvd Ste 101, Pullman, WA 99163-5502 Ph: (509) 332-6139	Maricarmen Stout Shields, MD 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163-5423 Ph: (509) 332-2605

Reviews and Comments

Pediatrics Doctors in Pullman, WA

Martha Hunt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Ne 1125 Washington St, Washington State University, Pullman, WA 99164 Phone: 509-335-3575
Michael J Frostad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754
Jonathan Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605
Lennis K Boyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-334-5754
Mackenzie Claire Rinaldi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 Se Professional Mall Blvd Ste 104, Pullman, WA 99163 Phone: 509-332-2605 Fax: 509-715-2123

Maricarmen Stout Shields, MD - Medicare Pediatrics in Pullman, WA