Ms Dorothea Burget Southwick, PT is a medicare enrolled "Physical Therapist" provider in Champlain, New York. She graduated from medical school in 1980 and has 45 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
34 Beeman Way, Champlain, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 298-1111.
Ms Dorothea Burget Southwick is licensed to practice in New York (license number 0065281) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689661092.
Healthcare Provider's Profile
| Full Name | Ms Dorothea Burget Southwick |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 45 Years |
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| Location | 34 Beeman Way, Champlain, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Dorothea Burget Southwick graduated from medical school in 1980
NPI Data:
- NPI Number: 1689661092
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 12/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072571694
- Enrollment ID: I20041230000366
Medical Identifiers
Medical identifiers for Ms Dorothea Burget Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689661092 | NPI | - | NPPES |
| 000405998001 | Other | NY | BLUE SHIELD OF NORTHEASTE |
| Q66832 | Other | NY | EMPIRE BCBS |
| 110409700 | Other | | US DEPT OF LABOR OWCP |
| Q66831 | Other | NY | EMPIRE BLUE CROSS/EMPIRE |
| 141733498 | Other | NY | EMPIRE STATE PLAN GROUP |
| GRP405998002 | Other | NY | BLUE SHIELD OF NORTHEASTE |
| 650005243 | Other | | RAILROAD MEDICARE |
| 819687 | Other | NY | EMPIRE STATE PLAN |
| 141733498 | Other | NY | EXCELLUS BLUE CROSS BLUE |
| P01010652 | Other | NY | EXCELLUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 0065281 (New York) | 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. Ms Dorothea Burget Southwick 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 |
|---|
Ms Dorothea Burget Southwick, PT
Po Box 702,
Champlain, NY 12919
Ph: (518) 298-1111 | Ms Dorothea Burget Southwick, PT
34 Beeman Way,
Champlain, NY 12919
Ph: (518) 298-1111 |
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