Jodi Southam, MD in Salt Lake City, UT - Medicare Orthopedic Surgery

Jodi Southam, MD is a medicare enrolled "Orthopaedic Surgery" physician in Salt Lake City, Utah. She went to Georgetown University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and her current practice location is 590 S Wakara Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-5455.

Jodi Southam is licensed to practice in Utah (license number 7618740-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942422167.

Contact Information

	Jodi Southam, MD
	590 S Wakara Way, Salt Lake City, UT 84108-1200
	(801) 587-5455
	Not Available

Map and Direction

Physician's Profile

Full Name	Jodi Southam
Gender	Female
Speciality	Orthopedic Surgery
Experience	20 Years
Location	590 S Wakara Way, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jodi Southam attended and graduated from Georgetown University School Of Medicine in 2005

NPI Data:

NPI Number: 1942422167
Provider Enumeration Date: 05/03/2007
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 3274726427
Enrollment ID: I20130614000004

Medical Identifiers

Medical identifiers for Jodi Southam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942422167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MT186754 (Pennsylvania)	Secondary
207X00000X	Orthopaedic Surgery	7618740-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Sunnyside Medical Center	Clackamas, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1484

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. Jodi Southam allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Jodi Southam 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
Jodi Southam, MD 417 E 300 S Apt 9, Salt Lake City, UT 84111-2672 Ph: (202) 746-0089	Jodi Southam, MD 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 587-5455

Reviews and Comments

Orthopaedic Surgery Doctors in Salt Lake City, UT

Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546
Chrystina James, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Kayla L. Gates, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429

Jodi Southam, MD - Medicare Orthopedic Surgery in Salt Lake City, UT