Caleb Donaldson Southall, MD is a medicare enrolled "Family Medicine" physician in Sutherland, Virginia. He went to University Of Virginia School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sutherland Family Practice Inc and his current practice location is
5609 Claiborne Rd, Sutherland, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 265-5211.
Caleb Donaldson Southall is licensed to practice in Virginia (license number 0101283159) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285212480.
Physician's Profile
| Full Name | Caleb Donaldson Southall |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 5609 Claiborne Rd, Sutherland, Virginia |
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| Accepts Medicare Assignments | Yes. He 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:
- Caleb Donaldson Southall attended and graduated from University Of Virginia School Of Medicine in 2021
NPI Data:
- NPI Number: 1285212480
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698206605
- Enrollment ID: I20241001004470
Medical Identifiers
Medical identifiers for Caleb Donaldson Southall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285212480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101283159 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sutherland Family Practice Inc | 1153309703 | 3 |
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. Caleb Donaldson Southall allows following entities to bill medicare on his behalf.
| Entity Name | Sutherland Family Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869487
PECOS PAC ID: 1153309703
Enrollment ID: O20040709001022 |
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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. Caleb Donaldson Southall 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 |
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Caleb Donaldson Southall, MD
13540 Hull Street Rd,
Midlothian, VA 23112-2107
Ph: () - | Caleb Donaldson Southall, MD
5609 Claiborne Rd,
Sutherland, VA 23885-9303
Ph: (804) 265-5211 |
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