Dr Bethany Ann South, OD is a
Optometrist based in Bay Springs, Mississippi. Dr Bethany Ann South is licensed to practice in Mississippi (license number 831) and her current practice location is
16 South 16th St, Bay Springs, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 764-2120.
NPI number for Dr Bethany Ann South is 1316137052 and her current mailing address is Po Box 728, Bay Springs, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316137052.
Healthcare Provider's Profile
| Full Name | Dr Bethany Ann South |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 16 South 16th St, Bay Springs, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316137052
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 01/12/2011
Medical Identifiers
Medical identifiers for Dr Bethany Ann South such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316137052 | NPI | - | NPPES |
| 13338 | Other | CA | CALIFORNIA BOARD OF OPTOM |
| 831 | Other | MS | OPTOMETRY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 13338 (California) | Secondary |
| 152W00000X | Optometrist | 831 (Mississippi) | Primary |
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. Dr Bethany Ann South is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bethany Ann South, OD
Po Box 728,
Bay Springs, MS 39422-0728
Ph: (601) 764-2120 | Dr Bethany Ann South, OD
16 South 16th St,
Bay Springs, MS 39422
Ph: (601) 764-2120 |
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