Douglas Stephen Southern, PHD - Medicare Counselor in Roswell, NM

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Douglas Stephen Southern, PHD is a medicare enrolled "Psychologist" provider in Roswell, New Mexico. His current practice location is 104 E Linda Vista Blvd Ste B, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 624-8889.

Douglas Stephen Southern is licensed to practice in New Mexico (license number 1353) 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 1043407190.

Contact Information

Douglas Stephen Southern, PHD
104 E Linda Vista Blvd Ste B,
Roswell, NM 88201-6667
(575) 624-8889
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDouglas Stephen Southern
GenderMale
SpecialityPsychologist
Location104 E Linda Vista Blvd Ste B, Roswell, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043407190
  • Provider Enumeration Date: 10/02/2007
  • Last Update Date: 04/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901125111
  • Enrollment ID: I20150508001675

Medical Identifiers

Medical identifiers for Douglas Stephen Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043407190NPI-NPPES
10180087MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 0128981 (New Mexico)Secondary
103T00000XPsychologist 1353 (New Mexico)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. Douglas Stephen Southern allows following entities to bill medicare on his behalf.
Entity NameAbsentee Shawnee Tribal Health Authority, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942253521
PECOS PAC ID: 5799171088
Enrollment ID: O20220414000294

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. Douglas Stephen 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 AddressPractice Location Address
Douglas Stephen Southern, PHD
Po Box 3391,
Roswell, NM 88202-3391

Ph: (575) 624-8889		Douglas Stephen Southern, PHD
104 E Linda Vista Blvd Ste B,
Roswell, NM 88201-6667

Ph: (575) 624-8889

Reviews and Comments


Psychologist in Roswell, NM


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.