Angela Gail Southerland, is a
Case Manager/care Coordinator based in Raeford, North Carolina. Angela Gail Southerland is licensed to practice in * (Not Available) (license number ) and her current practice location is
635 Vass Rd, Raeford, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(901) 670-6567.
NPI number for Angela Gail Southerland is 1568641710 and her current mailing address is 635 Vass Rd, Raeford, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568641710.
Healthcare Provider's Profile
| Full Name | Angela Gail Southerland |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 635 Vass Rd, Raeford, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568641710
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 10/27/2007
Medical Identifiers
Medical identifiers for Angela Gail Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568641710 | NPI | - | NPPES |
| 38 | Medicaid | NC | |
| 10 | Medicaid | NC | |
| 30 | Medicaid | NC | |
| 32 | Medicaid | NC | |
| 17 | Medicaid | NC | |
| 25 | Medicaid | NC | |
| 33 | Medicaid | NC | |
| 34 | Medicaid | NC | |
| 347C00000 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (North Carolina) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Angela Gail Southerland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angela Gail Southerland,
635 Vass Rd,
Raeford, NC 28376-8412
Ph: (901) 670-6567 | Angela Gail Southerland,
635 Vass Rd,
Raeford, NC 28376-8412
Ph: (901) 670-6567 |
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