Brandon David Southern, OD in Fort Stewart, GA - Medicare Optometrist Provider

Brandon David Southern, OD is a medicare enrolled "Optometrist" provider in Fort Stewart, Georgia. His current practice location is 1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 435-6965.

Brandon David Southern is licensed to practice in Indiana (license number 18004179A) 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 1942850045.

Contact Information

	Brandon David Southern, OD
	1061 Harmon Ave, Fort Stewart, GA 31314-5641
	(912) 435-6965
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon David Southern
Gender	Male
Speciality	Optometrist
Location	1061 Harmon Ave, Fort Stewart, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942850045
Provider Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 6709261464
Enrollment ID: I20220915002311

Medical Identifiers

Medical identifiers for Brandon David Southern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942850045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18004179A (Indiana)	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. Brandon David Southern allows following entities to bill medicare on his behalf.

Provider Name	Tom Sowash Od & Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174627202 PECOS PAC ID: 4284606088 Enrollment ID: O20040811001137

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. Brandon David 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
Brandon David Southern, OD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965	Brandon David Southern, OD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965

Reviews and Comments

Optometrist in Fort Stewart, GA

Patrick M Riner Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 345 Lindquist Rd Bldg 71, Fort Stewart, GA 31314 Phone: 912-876-1106
Dr. Sandra Lynn Griffin Banner, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633
Dr. Susan Mazuji Sloan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Optometry, Winn Army Community Hospital, Fort Stewart, GA 31314 Phone: 912-435-6155
Dr. Kevin P O'connor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 913-435-6965
Dr. Patrick Dee Starrett, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Usameddac, Fort Stewart, GA 31314 Phone: 912-435-5948 Fax: 912-435-5950
Zackery Ludlow, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1601 Harmon Ave, Fort Stewart, GA 31314 Phone: 402-214-3447
Peter Thomas, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633

Brandon David Southern, OD - Medicare Optometrist in Fort Stewart, GA