Theodore J Southgate, MD - Medicare Internal Medicine in Newark, NJ

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Theodore J Southgate, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Newark, New Jersey. His current practice location is 201 Lyons Ave, Suite G5, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 926-7749.

Theodore J Southgate is licensed to practice in New Jersey (license number 25MA05005700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730156217.

Contact Information

Theodore J Southgate, MD
201 Lyons Ave, Suite G5,
Newark, NJ 07112-2027
(973) 926-7749
(973) 923-4683

Map and Direction




Physician's Profile

Full NameTheodore J Southgate
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730156217
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5698713980
  • Enrollment ID: I20050418001107

Medical Identifiers

Medical identifiers for Theodore J Southgate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730156217NPI-NPPES
7459106MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 25MA05005700 (New Jersey)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. Theodore J Southgate allows following entities to bill medicare on his behalf.
Entity NameNbimc Department Of Cardio-thoracic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127204
PECOS PAC ID: 4082696794
Enrollment ID: O20040607000106
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951

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. Theodore J Southgate 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
Theodore J Southgate, MD
201 Lyons Ave, Suite G5,
Newark, NJ 07112-2027

Ph: (973) 926-7749		Theodore J Southgate, MD
201 Lyons Ave, Suite G5,
Newark, NJ 07112-2027

Ph: (973) 926-7749

Reviews and Comments


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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.

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