Mark J Stout, MD is a medicare enrolled "Transplant Surgery" physician in Waukesha, Wisconsin. His current practice location is
725 American Ave, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 263-1530.
Mark J Stout is licensed to practice in Wisconsin (license number 62383) 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 1851386551.
Physician's Profile
| Full Name | Mark J Stout |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 725 American Ave, Waukesha, Wisconsin |
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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:
- Mark J Stout attended and graduated from in
NPI Data:
- NPI Number: 1851386551
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 05/03/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark J Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851386551 | NPI | - | NPPES |
| P01027332 | Other | IN | RAILROAD MEDICARE |
| 000001005823 | Other | IN | ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 |
| 036080105 | Medicaid | IL | |
| 01605360 | Other | IL | BCBS PROVIDER ID |
| 201019900 | Medicaid | IN | |
| 780000280 | Other | IL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01069517A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 62383 (Wisconsin) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036080105 (Illinois) | Secondary |
| 204F00000X | Transplant Surgery | 62383 (Wisconsin) | 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. Mark J 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 |
|---|
Mark J Stout, MD
725 American Ave,
Waukesha, WI 53188-5031
Ph: () - | Mark J Stout, MD
725 American Ave,
Waukesha, WI 53188-5031
Ph: (608) 263-1530 |
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