| Scott C Stauter, | |
|
700 Ray O Vac Dr Ste 103, Madison, WI 53711-2468 | |
| (608) 444-4856 | |
| Not Available |
| Full Name | Scott C Stauter |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 2 Years |
| Location | 700 Ray O Vac Dr Ste 103, Madison, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164288916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5587-57 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regent Mental Health Group Sc | 5294053112 | 17 |
| Entity Name | Regent Mental Health Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770640286 PECOS PAC ID: 5294053112 Enrollment ID: O20150406000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott C Stauter, 2145 Fox Ave, Madison, WI 53711-1920 Ph: (608) 444-4856 | Scott C Stauter, 700 Ray O Vac Dr Ste 103, Madison, WI 53711-2468 Ph: (608) 444-4856 |
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