Mrs Rachael Stout, PMHNP-BC in Madison, MS - Medicare Nurse Practitioner

Mrs Rachael Stout, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Madison, Mississippi. Her current practice location is 130 Herons Bay Circle, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 427-9001.

Mrs Rachael Stout is licensed to practice in Mississippi (license number 906174) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871366476.

Contact Information

	Mrs Rachael Stout, PMHNP-BC
	130 Herons Bay Circle, Madison, MS 39110
	(601) 427-9001
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rachael Stout
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	130 Herons Bay Circle, Madison, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871366476
Provider Enumeration Date: 11/06/2023
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6002250537
Enrollment ID: I20240222003554

Medical Identifiers

Medical identifiers for Mrs Rachael Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871366476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	906174 (Mississippi)	Primary

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. Mrs Rachael Stout allows following entities to bill medicare on her behalf.

Entity Name	Ridgewood Clinics Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023233749 PECOS PAC ID: 8224029871 Enrollment ID: O20040721000250

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. Mrs Rachael 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
Mrs Rachael Stout, PMHNP-BC 130 Herons Bay Circle, Madison, MS 39110 Ph: (601) 427-9001	Mrs Rachael Stout, PMHNP-BC 130 Herons Bay Circle, Madison, MS 39110 Ph: (601) 427-9001

Reviews and Comments

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Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335
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Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400

Mrs Rachael Stout, PMHNP-BC - Medicare Nurse Practitioner in Madison, MS