Samuel Lynn Southam, MD in Provo, UT

Samuel Lynn Southam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7850.

Samuel Lynn Southam is licensed to practice in New Mexico (license number 2005-0536) 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 1104868850.

Contact Information

	Samuel Lynn Southam, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-7850
	(801) 357-7626

Map and Direction

Physician's Profile

Full Name	Samuel Lynn Southam
Gender	Male
Speciality
Experience	Years
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Lynn Southam attended and graduated from in

NPI Data:

NPI Number: 1104868850
Provider Enumeration Date: 06/10/2006
Last Update Date: 06/10/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1104868850	NPI	-	NPPES
76673855	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	12285899-1205 (Utah)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2005-0536 (New Mexico)	Primary

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. Samuel Lynn 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
Samuel Lynn Southam, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850	Samuel Lynn Southam, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Justin Marshall, Radiology Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 104, Provo, UT 84604 Phone: 801-379-6700 Fax: 801-225-1525

Samuel Lynn Southam, MD - Medicare in Provo, UT