Shaune Corrinne Southern, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Allentown, Pennsylvania. Her current practice location is
1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 402-8000.
Shaune Corrinne Southern is licensed to practice in Pennsylvania (license number RN563642) 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 1124728159.
Physician's Profile
Full Name | Shaune Corrinne Southern |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124728159
- Provider Enumeration Date: 03/08/2023
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719320134
- Enrollment ID: I20240213000765
Medical Identifiers
Medical identifiers for Shaune Corrinne Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124728159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 147127 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN563642 (Pennsylvania) | 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. Shaune Corrinne Southern allows following entities to bill medicare on her behalf.
Entity Name | Lehigh Valley Anesthesia Services, P. C. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
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Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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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. Shaune Corrinne Southern 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 |
Shaune Corrinne Southern, CRNA 2763 Township Rd, Riegelsville, PA 18077-9520 Ph: (215) 718-4997 | Shaune Corrinne Southern, CRNA 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8000 |
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