Dr Charles C Southerland, DPM - Medicare Podiatrist in Eagle Mountain, UT

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Dr Charles C Southerland, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Eagle Mountain, Utah. His current practice location is 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 893-8811.

Dr Charles C Southerland is licensed to practice in Utah (license number 9244891-0501) 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 1306832944.

Contact Information

Dr Charles C Southerland, DPM
3435 E Pony Express Pkwy Ste 140,
Eagle Mountain, UT 84005-5548
(801) 893-8811
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles C Southerland
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306832944
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 04/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678744364
  • Enrollment ID: I20110929000653

Medical Identifiers

Medical identifiers for Dr Charles C Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306832944NPI-NPPES
9244891-0501OtherUTMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 9244891-0501 (Utah)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. Dr Charles C Southerland allows following entities to bill medicare on his behalf.
Provider NameBarry University Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295959625
PECOS PAC ID: 3870499718
Enrollment ID: O20031210000902

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 Charles C Southerland 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 AddressPractice Location Address
Dr Charles C Southerland, DPM
11300 Ne 2nd Avenue,
Miami Shores, FL 33161

Ph: (305) 693-7287		Dr Charles C Southerland, DPM
3435 E Pony Express Pkwy Ste 140,
Eagle Mountain, UT 84005-5548

Ph: (801) 893-8811

Reviews and Comments


Podiatrist in Eagle Mountain, UT

Dr. Ryan Taylor Kitterman, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3435 E Pony Express Pkwy, Eagle Mountain, UT 84005
Phone: 801-789-2444    Fax: 801-789-2045
Dr. Devin Tranter, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3943 E Pony Express Pkwy, 110, Eagle Mountain, UT 84005
Phone: 801-789-4488    
Utah Podiatry Group Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005
Phone: 801-893-8811    Fax: 801-789-2046

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.