Gina South, MD in Chelsea, MI - Medicare Pediatrics

Gina South, MD is a medicare enrolled "Pediatrics" physician in Chelsea, Michigan. Her current practice location is 14288 E Old Us Hwy 12 Ste 100, Chelsea, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 475-9175.

Gina South is licensed to practice in Michigan (license number 4301098173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255507596.

Contact Information

	Gina South, MD
	14288 E Old Us Hwy 12 Ste 100, Chelsea, MI 48118-2700
	(734) 475-9175
	Not Available

Map and Direction

Physician's Profile

Full Name	Gina South
Gender	Female
Speciality	Pediatrics
Location	14288 E Old Us Hwy 12 Ste 100, Chelsea, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255507596
Provider Enumeration Date: 05/06/2008
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8527238047
Enrollment ID: I20151030000116

Medical Identifiers

Medical identifiers for Gina South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255507596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	51391 (Colorado)	Secondary
2080H0002X	Pediatrics - Hospice And Palliative Medicine	4301098173 (Michigan)	Secondary
208000000X	Pediatrics	4301098173 (Michigan)	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. Gina South allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Gina South 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
Gina South, MD 14288 E Old Us Hwy 12 Ste 100, Chelsea, MI 48118-2700 Ph: (734) 475-9175	Gina South, MD 14288 E Old Us Hwy 12 Ste 100, Chelsea, MI 48118-2700 Ph: (734) 475-9175

Reviews and Comments

Pediatrics Doctors in Chelsea, MI

Mary Westhoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120
Dr. Susanna Lin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175
Tara L Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120
Kylene Willsey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13699 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-475-4500 Fax: 734-475-4507
Dr. Scott Macleod Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13699 Old Us 12, Chelsea, MI 48118 Phone: 734-475-4500 Fax: 734-475-4507
Stephanie Meyer Tarnacki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14288 E Old Us Highway 12 Ste 100, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120

Gina South, MD - Medicare Pediatrics in Chelsea, MI