Michael David Stout, AA in Milwaukee, WI - Medicare Anesthesiology Assistant

Michael David Stout, AA is a medicare enrolled "Anesthesiologist Assistant" in Milwaukee, Wisconsin. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Anesthesia Dynamics Llc and his current practice location is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 805-8700.

Michael David Stout is licensed to practice in Wisconsin (license number 74017) 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 1255403812.

Contact Information

	Michael David Stout, AA
	9200 W Wisconsin Ave, Milwaukee, WI 53226-3522
	(414) 805-8700
	(414) 259-1522

Map and Direction

Provider's Profile

Full Name	Michael David Stout
Gender	Male
Speciality	Anesthesiology Assistant
Experience	9 Years
Location	9200 W Wisconsin Ave, Milwaukee, 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.

Medical Education and Training:

Michael David Stout graduated from nursing school in 2015

NPI Data:

NPI Number: 1255403812
Provider Enumeration Date: 11/15/2006
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6103903430
Enrollment ID: I20231130001194

Medical Identifiers

Medical identifiers for Michael David Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255403812	NPI	-	NPPES
1255403812	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	74017 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Hospitals Inc	Gary, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Dynamics Llc	3779832530	363

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. Michael David Stout allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052

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. Michael David 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
Michael David Stout, AA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700	Michael David Stout, AA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700

Reviews and Comments

Anesthesiologist Assistant Nurses in Milwaukee, WI

Justin Michael Cole, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215 Phone: 414-649-6000
Mackenzie Lynn Reid, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Aysha T Muhammad, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Anjali Rajan Menon, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Joseph Shaoul, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-2000
Mrs. Lea Van Heule, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 231-288-3155
Sarah Anderson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000

Michael David Stout, AA - Medicare Anesthesiology Assistant in Milwaukee, WI