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

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



Provider's Profile

Full NameMichael David Stout
GenderMale
SpecialityAnesthesiology Assistant
Experience9 Years
Location9200 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1255403812NPI-NPPES
1255403812MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 74017 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Hospitals IncGary, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Dynamics Llc3779832530363

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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 NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20191011000052

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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 AddressPractice 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

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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    

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