Michael Southworth, MD in Dover, NH

Michael Southworth, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Dover, New Hampshire. His current practice location is 789 Central Ave, Dover, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 740-2832.

Michael Southworth is licensed to practice in New Hampshire (license number 8539) 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 1306822481.

Contact Information

	Michael Southworth, MD
	789 Central Ave, Dover, NH 03820-2526
	(603) 740-2832
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Southworth
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	789 Central Ave, Dover, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306822481
Provider Enumeration Date: 12/20/2005
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 6406890318
Enrollment ID: I20051104000250

Medical Identifiers

Medical identifiers for Michael Southworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306822481	NPI	-	NPPES
0123485	Other		AETNA
020401332	Other		MARTINS POINT
30004276	Medicaid	NH
008585	Other		MAINE BLUE CROSS
3073850	Medicaid	NH
1306822481	Medicaid	ME
P00923460	Other	NH	RAILROAD MEDICARE
AA7682	Other		HARVARD PILGRIM
299000099	Medicaid	ME
0105960Y0NH01	Other		ANTHEM BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	8539 (New Hampshire)	Primary
2086S0129X	Surgery - Vascular Surgery	013160 (Maine)	Secondary

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. Michael Southworth allows following entities to bill medicare on his behalf.

Entity Name	Appledore Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720077167 PECOS PAC ID: 5698666154 Enrollment ID: O20040601000165

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200205000396

Entity Name	Concord Hospital-laconia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355

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. Michael Southworth 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
Michael Southworth, MD Po Box 412503, Boston, MA 02241-2503 Ph: () -	Michael Southworth, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 740-2832

Reviews and Comments

Surgery Doctors in Dover, NH

Amanda Mueller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Dr. Jessica Robin Schnur, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Ritoban Sen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 301, Dover, NH 03820 Phone: 603-516-4265
Joseph Anthony Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Ave, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019
Patricia A Auty, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Peter S Hedberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Avenue, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019

Michael Southworth, MD - Medicare Surgery in Dover, NH