Jennifer Southward, CPNP - Medicare Nurse Practitioner in Cottleville, MO

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Jennifer Southward, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Cottleville, Missouri. Her current practice location is 4525 Mid Rivers Mall Dr Ste 40, Cottleville, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 229-3370.

Jennifer Southward is licensed to practice in Missouri (license number 2013037116) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790100089.

Contact Information

Jennifer Southward, CPNP
4525 Mid Rivers Mall Dr Ste 40,
Cottleville, MO 63376-2820
(636) 229-3370
(636) 229-3367

Map and Direction




Provider's Profile

Full NameJennifer Southward
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location4525 Mid Rivers Mall Dr Ste 40, Cottleville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790100089
  • Provider Enumeration Date: 02/24/2014
  • Last Update Date: 05/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7517199748
  • Enrollment ID: I20140422001181

Medical Identifiers

Medical identifiers for Jennifer Southward such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790100089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2013037116 (Missouri)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. Jennifer Southward allows following entities to bill medicare on her behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006

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. Jennifer Southward 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
Jennifer Southward, CPNP
4525 Mid Rivers Mall Dr Ste 40,
Cottleville, MO 63376-2820

Ph: (636) 229-3370		Jennifer Southward, CPNP
4525 Mid Rivers Mall Dr Ste 40,
Cottleville, MO 63376-2820

Ph: (636) 229-3370

Reviews and Comments


Nurse Practitioner Nurses in Cottleville, MO

Neelima Nalluri,
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Medicare: Accepting Medicare Assignments
Practice Location: 133 Shortleaf Pine Dr, Cottleville, MO 63304
Phone: 314-741-0911    
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Practice Location: 1309 Commons Cir, Cottleville, MO 63304
Phone: 816-284-9650    
Carley Hall, AGNP-C
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Practice Location: 5230 Highway N, Cottleville, MO 63304
Phone: 636-675-7991    

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).

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