Jenna Lee Smith Stout, CM is a medicare enrolled "Advanced Practice Midwife" in Stone Ridge, New York. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Optum Medical Care Pc and her current practice location is
3457 Main St, Stone Ridge, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 430-4300.
Jenna Lee Smith Stout is licensed to practice in New York (license number F000723) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295790020.
Provider's Profile
| Full Name | Jenna Lee Smith Stout |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 29 Years |
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| Location | 3457 Main St, Stone Ridge, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jenna Lee Smith Stout graduated from nursing school in 1997
NPI Data:
- NPI Number: 1295790020
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567489719
- Enrollment ID: I20051027000764
Medical Identifiers
Medical identifiers for Jenna Lee Smith Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295790020 | NPI | - | NPPES |
| F000723 | Other | NY | LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | F000723 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Optum Medical Care Pc | 9931013240 | 979 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenna Lee Smith Stout allows following entities to bill medicare on her behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
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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. Jenna Lee Smith 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 |
Jenna Lee Smith Stout, CM 334 Plaza Rd, Kingston, NY 12401-2975 Ph: (845) 338-5575 | Jenna Lee Smith Stout, CM 3457 Main St, Stone Ridge, NY 12484-5612 Ph: (845) 430-4300 |
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