Robert Southerland, MD in Salem, NY - Medicare General Practice

Robert Southerland, MD is a medicare enrolled "Family Medicine" physician in Salem, New York. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Hudson Headwaters Health Network, Hudson Headwaters Health Network and his current practice location is 1830 County Route 64, Salem, New York. You can reach out to his office (for appointments etc.) via phone at (518) 824-2571.

Robert Southerland is licensed to practice in New York (license number 306326) 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 1730613514.

Contact Information

	Robert Southerland, MD
	1830 County Route 64, Salem, NY 12865-3404
	(518) 824-2571
	(833) 438-0104

Map and Direction

Physician's Profile

Full Name	Robert Southerland
Gender	Male
Speciality	General Practice
Experience	9 Years
Location	1830 County Route 64, Salem, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Southerland attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2017

NPI Data:

NPI Number: 1730613514
Provider Enumeration Date: 04/18/2017
Last Update Date: 03/13/2026

Medicare PECOS Information:

PECOS PAC ID: 7810240181
Enrollment ID: I20181102001933

Medical Identifiers

Medical identifiers for Robert Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730613514	NPI	-	NPPES
06215383	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	306326 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Glens Falls Hospital	Glens falls, NY	Hospital
Albany Medical Center Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hudson Headwaters Health Network	7416861208	212
Hudson Headwaters Health Network	7416861208	212

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. Robert 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 Address	Practice Location Address
Robert Southerland, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Robert Southerland, MD 1830 County Route 64, Salem, NY 12865-3404 Ph: (518) 824-2571

Reviews and Comments

Family Medicine Doctors in Salem, NY

Carrie L Mcneil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 Main Street, Salem Family Health Center, Salem, NY 12865 Phone: 518-854-3821 Fax: 518-854-3224
Anje C Van Berckelaer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 County Route 64, Salem, NY 12865 Phone: 518-824-2571 Fax: 833-438-0104

Robert Southerland, MD - Medicare General Practice in Salem, NY