Dustin M Souther, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Concord, NC

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Dustin M Souther, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cabarrus Gastroenterology Associates Pllc and his current practice location is 920 Church St N, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 403-1689.

Dustin M Souther is licensed to practice in North Carolina (license number 184216) 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 1144641788.

Contact Information

Dustin M Souther, CRNA
920 Church St N,
Concord, NC 28025-2927
(704) 403-1689
Not Available

Map and Direction




Provider's Profile

Full NameDustin M Souther
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location920 Church St N, Concord, North Carolina
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:
  • Dustin M Souther attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1144641788
  • Provider Enumeration Date: 12/28/2013
  • Last Update Date: 12/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5597980524
  • Enrollment ID: I20140708001645

Medical Identifiers

Medical identifiers for Dustin M Souther such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144641788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 184216 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cabarrus Gastroenterology Associates Pllc943605964937

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. Dustin M Souther allows following entities to bill medicare on his behalf.
Entity NameCarolina Digestive Health Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124052444
PECOS PAC ID: 1951209790
Enrollment ID: O20031230000650
Entity NameCabarrus Gastroenterology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780790592
PECOS PAC ID: 9436059649
Enrollment ID: O20040113000342
Entity NameCabarrus Gastroenterology Associates Pllc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346308517
PECOS PAC ID: 9436059649
Enrollment ID: O20070319000264
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856

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. Dustin M Souther 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
Dustin M Souther, CRNA
5025 Airport Center Pkwy Bldg L,
Charlotte, NC 28208-5885

Ph: (704) 512-7105		Dustin M Souther, CRNA
920 Church St N,
Concord, NC 28025-2927

Ph: (704) 403-1689

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-355-2000    
Justice L Edmond,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-403-3000    
Terri Crockett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    
Mary Jean Detchemendy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    Fax: 704-783-2527
Mr. Michael T Roberts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-1622    Fax: 704-783-2527
Janet Patty, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    
Virginia Norris Rogers, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 920 Church St N, Concord, NC 28025
Phone: 704-783-4235    

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.