Douglas Stephen Southern, PHD is a medicare enrolled "Psychologist" provider in Roswell, New Mexico. His current practice location is
104 E Linda Vista Blvd Ste B, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 624-8889.
Douglas Stephen Southern is licensed to practice in New Mexico (license number 1353) 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 1043407190.
Healthcare Provider's Profile
Full Name | Douglas Stephen Southern |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 104 E Linda Vista Blvd Ste B, Roswell, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Douglas Stephen Southern attended and graduated from in
NPI Data:
- NPI Number: 1043407190
- Provider Enumeration Date: 10/02/2007
- Last Update Date: 04/21/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Douglas Stephen Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043407190 | NPI | - | NPPES |
10180087 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0128981 (New Mexico) | Secondary |
103T00000X | Psychologist | 1353 (New Mexico) | 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. Douglas Stephen Southern 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 Address | Practice Location Address |
Douglas Stephen Southern, PHD Po Box 3391, Roswell, NM 88202-3391 Ph: (575) 624-8889 | Douglas Stephen Southern, PHD 104 E Linda Vista Blvd Ste B, Roswell, NM 88201-6667 Ph: (575) 624-8889 |
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