Brandon Thomas Stout, RN | |
9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 | |
(414) 805-3000 | |
Not Available |
Full Name | Brandon Thomas Stout |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 9200 W Wisconsin Ave, Wauwatosa, Wisconsin |
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 |
---|---|---|---|
1144876780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 220296-30 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Memorial Lutheran Hospital, Inc. | 1456342682 | 55 |
Entity Name | Froedtert Memorial Lutheran Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255334173 PECOS PAC ID: 1456342682 Enrollment ID: O20040518001180 |
Mailing Address | Practice Location Address |
---|---|
Brandon Thomas Stout, RN 2966 S Superior St, Milwaukee, WI 53207-2544 Ph: (414) 617-8160 | Brandon Thomas Stout, RN 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 Ph: (414) 805-3000 |
Amber Harshaw, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 540 N 112th St, Wauwatosa, WI 53226 Phone: 414-380-4146 | |
Mrs. Susanne Elisabeth Michelson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4661 N Parkside Dr, Wauwatosa, WI 53225 Phone: 414-464-9785 | |
Chyna Liu, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4663 N 109th St, Wauwatosa, WI 53225 Phone: 414-526-3700 | |
April Studer Biscocho Weber, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 | |
Ms. Colleen Helene Anderson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2623 N 89th St, Wauwatosa, WI 53226 Phone: 414-777-1533 | |
Jeanne M Kelley, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2321 N 70th St, Wauwatosa, WI 53213 Phone: 414-727-4926 | |
Mr. James Thomas Brinsko, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3258 N Colonial Dr, Wauwatosa, WI 53222 Phone: 414-463-6919 |