Brittany R Stout (NPI# 1699126912, PAC ID# 3274828256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699126912 |
| PAC ID by PECOS | 3274828256 |
| Professional Enrollment ID | I20160830001903 |
| Full Name | Brittany R Stout |
| Organization Legal Name | SOUTHERN INDIANA COMMUNITY HEALTH CARE |
| Address |
5604 E White Oak Ln Crawford County Family Health Marengo IN 47140-8413 |
| Phone Number | 8123653221 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799694360 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151306 | INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL |
| 150115 | MEMORIAL HOSPITAL AND HEALTH CARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5604 E White Oak Ln, Crawford County Family Health, Marengo, IN 47140-8413 | 8123653221 | SOUTHERN INDIANA COMMUNITY HEALTH CARE |
| Organization Legal Name | SOUTHERN INDIANA COMMUNITY HEALTH CARE |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Ray | Nurse Practitioner | Southern Indiana Community Health Care | 307 S Indiana Ave, Patoka Family Health Care, English, IN 47118-5851 |
| Stephanie D Frye | Nurse Practitioner | Southern Indiana Community Health Care | 420 W Longest St, Comprehensive Health Care, Paoli, IN 47454-8821 |
| Jennifer D Shafer | Nurse Practitioner | Southern Indiana Community Health Care | 5604 E White Oak Ln, Crawford County Family Health, Marengo, IN 47140-8413 |
| Shannon M Dooley | Nurse Practitioner | Southern Indiana Community Health Care | 9529 W State Rd, 56 Valley Health, French Lick, IN 47432-9708 |
| Yolanda J Yoder | Family Practice | Southern Indiana Community Health Care | 420 W Longest St, Comprehensive Health Care, Paoli, IN 47454-8821 |
| Curtis Carlyle Thill | Family Practice | Southern Indiana Community Health Care | 5604 E White Oak Ln, Crawford County Family Health, Marengo, IN 47140-8413 |
| Rebecca E Johnson | Certified Nurse Midwife | Southern Indiana Community Health Care | 9529 W State Rd, 56 Valley Health, French Lick, IN 47432-9708 |
| Christi L Self | Nurse Practitioner | Southern Indiana Community Health Care | 307 S Indiana Ave, Patoka Family Health Care, English, IN 47118 |
| Street Address |
5604 E WHITE OAK LN CRAWFORD COUNTY FAMILY HEALTH |
| City | MARENGO |
| State | IN |
| Zip | 47140-8413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer D Shafer | Nurse Practitioner | Southern Indiana Community Health Care | 5604 E White Oak Ln, Crawford County Family Health, Marengo, IN 47140-8413 |
| Curtis Carlyle Thill | Family Practice | Southern Indiana Community Health Care | 5604 E White Oak Ln, Crawford County Family Health, Marengo, IN 47140-8413 |
| City | MARENGO |
| Zip Code | 47140 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARENGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brittany R Stout.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.