| William John Stout, PA-C | |
|
1401 E State Street, Rockford, IL 61104 | |
| (815) 968-4400 | |
| Not Available |
| Full Name | William John Stout |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1401 E State Street, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245263268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003286 (Ohio) | Primary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Parma Community General Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164481677 PECOS PAC ID: 8325931470 Enrollment ID: O20040204000054 |
| Entity Name | Magis Emergency Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| Entity Name | Dr Thomas E Mandat MD |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750870374 PECOS PAC ID: 3274878145 Enrollment ID: O20181220002137 |
| Mailing Address | Practice Location Address |
|---|---|
| William John Stout, PA-C 7007 Powers Blvd, Parma, OH 44129-5437 Ph: (440) 743-3000 | William John Stout, PA-C 1401 E State Street, Rockford, IL 61104 Ph: (815) 968-4400 |
Ellissa A Schwartz, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6830 Villagreen Vw, Rockford, IL 61107 Phone: 815-282-1339 Fax: 815-282-1298 |
Alexander Whitney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 Featherstone Rd Ste C, Rockford, IL 61107 Phone: 815-227-1055 Fax: 815-227-1006 |
Caron M Cook, P.A, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-3050 |
Veronica Newburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E State St, Rockford, IL 61104 Phone: 815-201-1970 |
Mrs. Katie Michelle Rose, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 360, Rockford, IL 61107 Phone: 815-229-9333 |
Michael Murphy Weedman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 |
Gordon Eggers, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 |