Dr Edward Paul Southern, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Fort Polk, Louisiana. His current practice location is
Bayne-jones Army Community Hospital, 1585 Third St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 531-3000.
Dr Edward Paul Southern is licensed to practice in California (license number C050274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053360941.
Physician's Profile
Full Name | Dr Edward Paul Southern |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
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Location | Bayne-jones Army Community Hospital, Fort Polk, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053360941
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002719622
- Enrollment ID: I20070515000106
Medical Identifiers
Medical identifiers for Dr Edward Paul Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053360941 | NPI | - | NPPES |
2301209 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | C050274 (California) | Secondary |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | C050274 (California) | Secondary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | C050274 (California) | 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. Dr Edward Paul Southern allows following entities to bill medicare on his behalf.
Entity Name | Memorial Medical Center Of West Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
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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. Dr Edward Paul 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 |
Dr Edward Paul Southern, MD Bayne-jones Army Community Hospital, 1585 Third St, Fort Polk, LA 71459 Ph: (337) 531-3000 | Dr Edward Paul Southern, MD Bayne-jones Army Community Hospital, 1585 Third St, Fort Polk, LA 71459 Ph: (337) 531-3000 |
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