Shannon Southard, NP in Tappahannock, VA - Medicare Nurse Practitioner

Shannon Southard, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tappahannock, Virginia. Her current practice location is 618 Hospital Rd, Tappahannock, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 827-9357.

Shannon Southard is licensed to practice in Virginia (license number 0024185350) 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 1972226025.

Contact Information

	Shannon Southard, NP
	618 Hospital Rd, Tappahannock, VA 22560-5000
	(804) 827-9357
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Southard
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	618 Hospital Rd, Tappahannock, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972226025
Provider Enumeration Date: 09/23/2022
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2567834336
Enrollment ID: I20230206000981

Medical Identifiers

Medical identifiers for Shannon Southard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972226025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024185350 (Virginia)	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. Shannon Southard allows following entities to bill medicare on her behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

Entity Name	Cmh Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171

Entity Name	Bon Secours Medical Group Richmond Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170

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. Shannon Southard 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
Shannon Southard, NP 8513 Leveret Ln, North Chesterfield, VA 23235-5484 Ph: (804) 814-4636	Shannon Southard, NP 618 Hospital Rd, Tappahannock, VA 22560-5000 Ph: (804) 827-9357

Reviews and Comments

Nurse Practitioner Nurses in Tappahannock, VA

Ms. Pamela R Webb, FNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 Tappahannock Blvd, Tappahannock, VA 22560 Phone: 804-443-5378 Fax: 804-443-9667
Chad S Forrester, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560 Phone: 804-443-6063 Fax: 804-443-6005
Abigail Schmalz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560 Phone: 804-443-6063 Fax: 804-443-6005
Patrick Bruce Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 Fax: 804-443-6150
Caroline Dorothy Goode, LNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pavilion A, 659 Hospital Rd,, Tappahannock, VA 22560 Phone: 804-443-6020
Constance C Gilman, RN, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311
Mrs. Mary Kathyn O'bier, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 659 Hospital Rd Ste 201, Tappahannock, VA 22560 Phone: 804-828-4362 Fax: 804-828-7865

Shannon Southard, NP - Medicare Nurse Practitioner in Tappahannock, VA