| Ms Andrea Kathryn Stout, PA-C | |
|
1019 Valmeyer Rd, Columbia, IL 62236-4123 | |
| (618) 205-7170 | |
| Not Available |
| Full Name | Ms Andrea Kathryn Stout |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1019 Valmeyer Rd, Columbia, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982972782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085004179 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital South | Saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Illinois, Llc | 5193150621 | 6 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea Kathryn Stout, PA-C 1019 Valmeyer Rd, Columbia, IL 62236-4123 Ph: (618) 205-7170 | Ms Andrea Kathryn Stout, PA-C 1019 Valmeyer Rd, Columbia, IL 62236-4123 Ph: (618) 205-7170 |
Mrs. Candace Parker Fleming, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 109 W Legion Ave, Columbia, IL 62236 Phone: 618-281-4325 Fax: 618-208-1313 | |
Andrea Nicole Thomas, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven South 2e, Columbia, IL 62236 Phone: 618-206-6120 | |
Jared Wayne Schiefer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 | |
Mrs. Victoria L Trembly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1019 Valmeyer Rd, Columbia, IL 62236 Phone: 618-205-7170 |