Shaune Corrinne Southern, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Allentown, Pennsylvania. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lehigh Valley Physician Group and her current practice location is
1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 402-8000.
Shaune Corrinne Southern is licensed to practice in Pennsylvania (license number RN563642) 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 1124728159.
Physician's Profile
| Full Name | Shaune Corrinne Southern |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shaune Corrinne Southern graduated from medical school in 2023
NPI Data:
- NPI Number: 1124728159
- Provider Enumeration Date: 03/08/2023
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719320134
- Enrollment ID: I20240213000765
Medical Identifiers
Medical identifiers for Shaune Corrinne Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124728159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 147127 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN563642 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lehigh Valley Physician Group | 3072425123 | 2138 |
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. Shaune Corrinne Southern allows following entities to bill medicare on her behalf.
| Entity Name | Lehigh Valley Anesthesia Services, P. C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
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| Entity Name | Lehigh Valley Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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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. Shaune Corrinne 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 Address | Practice Location Address |
Shaune Corrinne Southern, CRNA 2763 Township Rd, Riegelsville, PA 18077-9520 Ph: (215) 718-4997 | Shaune Corrinne Southern, CRNA 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8000 |
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