Shannon Southard, NP - Medicare Nurse Practitioner in Tappahannock, VA

Shannon Southard, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tappahannock, Virginia. Her current practice location is 618 Hospital Rd, Tappahannock, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 827-9357.

Shannon Southard is licensed to practice in Virginia (license number 0024185350) 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 1972226025.

Contact Information

Shannon Southard, NP
618 Hospital Rd,
Tappahannock, VA 22560-5000
(804) 827-9357
Not Available

Map and Direction




Provider's Profile

Full NameShannon Southard
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location618 Hospital Rd, Tappahannock, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972226025
  • Provider Enumeration Date: 09/23/2022
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567834336
  • Enrollment ID: I20230206000981

Medical Identifiers

Medical identifiers for Shannon Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972226025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 0024185350 (Virginia)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. Shannon Southard allows following entities to bill medicare on her behalf.
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559
Entity NameCmh Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171
Entity NameBon Secours Medical Group Richmond Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477112225
PECOS PAC ID: 8022440056
Enrollment ID: O20191113002170

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. Shannon Southard 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
Shannon Southard, NP
8513 Leveret Ln,
North Chesterfield, VA 23235-5484

Ph: (804) 814-4636
Shannon Southard, NP
618 Hospital Rd,
Tappahannock, VA 22560-5000

Ph: (804) 827-9357

Reviews and Comments


Nurse Practitioner Nurses in Tappahannock, VA

Ms. Pamela R Webb, FNP- BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1362 Tappahannock Blvd, Tappahannock, VA 22560
Phone: 804-443-5378    Fax: 804-443-9667
Chad S Forrester, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560
Phone: 804-443-6063    Fax: 804-443-6005
Abigail Schmalz, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560
Phone: 804-443-6063    Fax: 804-443-6005
Patrick Bruce Hill, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 618 Hospital Rd, Tappahannock, VA 22560
Phone: 804-443-3311    Fax: 804-443-6150
Caroline Dorothy Goode, LNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Pavilion A, 659 Hospital Rd,, Tappahannock, VA 22560
Phone: 804-443-6020    
Constance C Gilman, RN, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 618 Hospital Rd, Tappahannock, VA 22560
Phone: 804-443-3311    
Mrs. Mary Kathyn O'bier, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 659 Hospital Rd Ste 201, Tappahannock, VA 22560
Phone: 804-828-4362    Fax: 804-828-7865

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.