Daniel O Southern, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Wilton, Connecticut. He went to State University Of Ny Upstate Medical University and graduated in 1999 and has 25 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Rehabilitation Associates Inc and his current practice location is
195 Danbury Road, Suite B220, Wilton, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 456-5717.
Daniel O Southern is licensed to practice in Connecticut (license number 042845) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154346302.
Physician's Profile
| Full Name | Daniel O Southern |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 25 Years |
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| Location | 195 Danbury Road, Suite B220, Wilton, Connecticut |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel O Southern attended and graduated from State University Of Ny Upstate Medical University in 1999
NPI Data:
- NPI Number: 1154346302
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173505856
- Enrollment ID: I20041124000551
Medical Identifiers
Medical identifiers for Daniel O Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154346302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 042845 (Connecticut) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 042845 (Connecticut) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 042845 (Connecticut) | Primary |
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. Daniel O Southern allows following entities to bill medicare on his behalf.
| Entity Name | Interventional Orthopedics Ct Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134740566
PECOS PAC ID: 6406287515
Enrollment ID: O20200505001931 |
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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. Daniel O 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 |
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Daniel O Southern, MD
195 Danbury Road, Suite B220,
Wilton, CT 06897-6014
Ph: (203) 456-5717 | Daniel O Southern, MD
195 Danbury Road, Suite B220,
Wilton, CT 06897
Ph: (203) 456-5717 |
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