Samantha Stough, DO is a
Pediatrics physician based in Dillon, Colorado. Samantha Stough is licensed to practice in Colorado (license number DR.0064580) and her current practice location is 365 Dillon Ridge Rd Ste 1200, Dillon, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 926-6340.
NPI number for Samantha Stough is 1962933234 and her current mailing address is Po Box 4330, Avon, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962933234.
Physician's Profile
| Full Name | Samantha Stough |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 365 Dillon Ridge Rd Ste 1200, Dillon, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962933234
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 05/13/2022
Medical Identifiers
Medical identifiers for Samantha Stough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962933234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 58008378 (Ohio) | Secondary |
| 208000000X | Pediatrics | DR.0064580 (Colorado) | 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. Samantha Stough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Stough, DO
Po Box 4330,
Avon, CO 81620-4330
Ph: (970) 926-6340 | Samantha Stough, DO
365 Dillon Ridge Rd Ste 1200,
Dillon, CO 80435-6344
Ph: (970) 926-6340 |
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