Robert Southerland, MD - Medicare Family Practice in Chestertown, NY

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Robert Southerland, MD is a medicare enrolled "Family Medicine" physician in Chestertown, New York. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hudson Headwaters Health Network and his current practice location is 6223 State Route 9, Chestertown, New York. You can reach out to his office (for appointments etc.) via phone at (518) 494-2761.

Robert Southerland is licensed to practice in New York (license number 306326) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730613514.

Contact Information

Robert Southerland, MD
6223 State Route 9,
Chestertown, NY 12817-2823
(518) 494-2761
(518) 494-3541

Map and Direction




Physician's Profile

Full NameRobert Southerland
GenderMale
SpecialityFamily Practice
Experience8 Years
Location6223 State Route 9, Chestertown, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Southerland attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2017
  NPI Data:
  • NPI Number: 1730613514
  • Provider Enumeration Date: 04/18/2017
  • Last Update Date: 10/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810240181
  • Enrollment ID: I20201026001432

Medical Identifiers

Medical identifiers for Robert Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730613514NPI-NPPES
06215383MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 306326 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Warren Co Hlth Svs ChhaLake george, NYHome health agency
Glens Falls HospitalGlens falls, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hudson Headwaters Health Network7416861208167

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. Robert Southerland allows following entities to bill medicare on his behalf.
Entity NameHudson Headwaters Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194738344
PECOS PAC ID: 7416861208
Enrollment ID: O20031117000239

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. Robert Southerland 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 AddressPractice Location Address
Robert Southerland, MD
9 Carey Rd,
Queensbury, NY 12804-7880

Ph: (518) 761-0300		Robert Southerland, MD
6223 State Route 9,
Chestertown, NY 12817-2823

Ph: (518) 494-2761

Reviews and Comments


Family Medicine Doctors in Chestertown, NY

Daniel C Larson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6223 Route 9, Chestertown, NY 12817
Phone: 518-494-2761    Fax: 518-494-3541
Harriet Busch, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6223 State Rte 9, Chestertown, NY 12817
Phone: 518-494-2761    Fax: 518-494-3541
John K Rugge, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6223 State Route 9, Chestertown, NY 12817
Phone: 518-494-2761    Fax: 518-494-3541

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.