James William Southam, NP-C, FNP in Roseburg, OR

James William Southam, NP-C, FNP is a medicare enrolled "Nurse Practitioner - Family" in Roseburg, Oregon. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Icco Llc and his current practice location is 1740 Nw Goetz St, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 640-7625.

James William Southam is licensed to practice in Oregon (license number 201906644NP-PP) 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 1598301582.

Contact Information

	James William Southam, NP-C, FNP
	1740 Nw Goetz St, Roseburg, OR 97471-1613
	(541) 640-7625
	Not Available

Map and Direction

Provider's Profile

Full Name	James William Southam
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1740 Nw Goetz St, Roseburg, Oregon
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:

James William Southam graduated from nursing school in 2019

NPI Data:

NPI Number: 1598301582
Provider Enumeration Date: 11/25/2019
Last Update Date: 01/24/2020

Medicare PECOS Information:

PECOS PAC ID: 0941636013
Enrollment ID: I20200210000092

Medical Identifiers

Medical identifiers for James William Southam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598301582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201906644NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icco Llc	1355406729	105

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. James William Southam allows following entities to bill medicare on his behalf.

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

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. James William 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
James William Southam, NP-C, FNP 1292 High St Ste 224, Eugene, OR 97401-3238 Ph: (541) 500-2500	James William Southam, NP-C, FNP 1740 Nw Goetz St, Roseburg, OR 97471-1613 Ph: (541) 640-7625

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

James William Southam, NP-C, FNP - Medicare Nurse Practitioner in Roseburg, OR