Rose S Southerland, DPM - Medicare Podiatrist in Wilmington, NC

Rose S Southerland, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Wilmington, North Carolina. She went to Kent State University College Of Podiatric Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Wilmington Health Pllc and her current practice location is 1202 Medical Center Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 341-3300.

Rose S Southerland is licensed to practice in North Carolina (license number 520) 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 1790823334.

Contact Information

Rose S Southerland, DPM
1202 Medical Center Dr,
Wilmington, NC 28401-7307
(910) 341-3300
(910) 251-2067

Map and Direction




Healthcare Provider's Profile

Full NameRose S Southerland
GenderFemale
SpecialityPodiatry
Experience20 Years
Location1202 Medical Center Dr, Wilmington, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rose S Southerland attended and graduated from Kent State University College Of Podiatric Medicine in 2004
  NPI Data:
  • NPI Number: 1790823334
  • Provider Enumeration Date: 02/04/2007
  • Last Update Date: 03/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6608979919
  • Enrollment ID: I20080228000617

Medical Identifiers

Medical identifiers for Rose S Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790823334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 520 (North Carolina)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine 520 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wilmington Health Pllc6103722509286

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. Rose S Southerland allows following entities to bill medicare on her behalf.
Provider NameWilmington Health Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881632339
PECOS PAC ID: 6103722509
Enrollment ID: O20031208000800

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. Rose S 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
Rose S Southerland, DPM
25 Union School Rd Nw Ste 1,
Ocean Isle Beach, NC 28469-7307

Ph: (910) 579-0828
Rose S Southerland, DPM
1202 Medical Center Dr,
Wilmington, NC 28401-7307

Ph: (910) 341-3300

Reviews and Comments


Podiatrist in Wilmington, NC

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Coastal Carolina Foot & Ankle Associates Pa
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Practice Location: 1602 Doctors Cir, Wilmington, NC 28401
Phone: 910-343-8889    Fax: 910-343-9990
Summit Podiatry Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 4113 Oleander Dr, Suite G, Wilmington, NC 28403
Phone: 910-791-1300    Fax: 791-791-4125

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.