Mrs Betsy W Southern, PA-C - Medicare Physician Assistant in Winston Salem, NC

Mrs Betsy W Southern, PA-C is a medicare enrolled "Physician Assistant" in Winston Salem, North Carolina. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 145 Kimel Park Dr, 330, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 765-6181.

Mrs Betsy W Southern is licensed to practice in North Carolina (license number 0010-00149) 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 1285691998.

Contact Information

Mrs Betsy W Southern, PA-C
145 Kimel Park Dr, 330,
Winston Salem, NC 27103-6984
(336) 765-6181
(336) 765-8492

Map and Direction




Provider's Profile

Full NameMrs Betsy W Southern
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location145 Kimel Park Dr, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Betsy W Southern graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1285691998
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 03/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496761819
  • Enrollment ID: I20060222000605

Medical Identifiers

Medical identifiers for Mrs Betsy W Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285691998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-00149 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital
Lexington Memorial Hospital IncLexington, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649522012

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. Mrs Betsy W 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 AddressPractice Location Address
Mrs Betsy W Southern, PA-C
145 Kimel Park Dr, 330,
Winston Salem, NC 27103-6984

Ph: (336) 765-6181
Mrs Betsy W Southern, PA-C
145 Kimel Park Dr, 330,
Winston Salem, NC 27103-6984

Ph: (336) 765-6181

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.