Dr Samuel Joseph Southgate, MD in Bloomington, MN

Dr Samuel Joseph Southgate, MD is a medicare enrolled "Emergency Medicine" physician in Bloomington, Minnesota. His current practice location is 4300 Marketpointe Dr Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 835-9880.

Dr Samuel Joseph Southgate is licensed to practice in Minnesota (license number 71281) 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 1528688330.

Contact Information

	Dr Samuel Joseph Southgate, MD
	4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
	(952) 835-9880
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Joseph Southgate
Gender	Male
Speciality	Emergency Medicine
Location	4300 Marketpointe Dr Ste 100, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528688330
Provider Enumeration Date: 04/22/2020
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9739509670
Enrollment ID: I20221012003415

Medical Identifiers

Medical identifiers for Dr Samuel Joseph Southgate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528688330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	71281 (Minnesota)	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 Samuel Joseph Southgate allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Emergency Physicians Professional Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068

Entity Name	Regions Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Samuel Joseph Southgate 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 Samuel Joseph Southgate, MD 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Ph: (952) 835-9880	Dr Samuel Joseph Southgate, MD 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Ph: (952) 835-9880

Reviews and Comments

Emergency Medicine Doctors in Bloomington, MN

Rebecca Lynn Meyer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880
Dr. Holly Lynn Schrupp Berg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Andrew H Bauer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Laura Kuhlman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880
Elisabeth Marycke Vreede Greenberg, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Leonardo A Saavedra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Dr. Tanner Leroy, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880

Dr Samuel Joseph Southgate, MD - Medicare Emergency Medicine in Bloomington, MN