Southern Orthopedic Associates Sc - Medicare in Herrin, IL

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Southern Orthopedic Associates Sc is a medicare enrolled "Orthopaedic Surgery" provider in Herrin, Illinois. Their current practice location is 510 Lincoln Dr, Herrin, Illinois. You can reach out to their office (for appointments etc.) via phone at (618) 997-6800.

Southern Orthopedic Associates Sc is licensed to practice in Illinois (license number 042617215) and it also participates in the medicare program. Southern Orthopedic Associates Sc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396792412.

Contact Information

Southern Orthopedic Associates Sc
510 Lincoln Dr,
Herrin, IL 62948-6334
(618) 997-6800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSouthern Orthopedic Associates Sc
TypeFacility
SpecialityOrthopaedic Surgery
Location510 Lincoln Dr, Herrin, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396792412
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921095514
  • Enrollment ID: O20040427000442

Medical Identifiers

Medical identifiers for Southern Orthopedic Associates Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396792412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP1100XClinic/center - Podiatric (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies 042617215 (Kentucky)Secondary
363A00000XPhysician Assistant (Kentucky)Secondary
207X00000XOrthopaedic Surgery 042617215 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Orthopedic Associates Sc acts as a billing entity for following providers:
Provider NameFrederick T Deweese
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891784757
PECOS PAC ID: 0941109649
Enrollment ID: I20040105000412
Provider NameRobert Deaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386750404
PECOS PAC ID: 2264421577
Enrollment ID: I20040511001226
Provider NameTreg Brown
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598870115
PECOS PAC ID: 0648254425
Enrollment ID: I20040617001159
Provider NameKimberly A Peters
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568578680
PECOS PAC ID: 8325011158
Enrollment ID: I20040818001106
Provider NamePamela Hunter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164537783
PECOS PAC ID: 6406886787
Enrollment ID: I20050816001108
Provider NameJohn T Davis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063436756
PECOS PAC ID: 0244233948
Enrollment ID: I20060818000426
Provider NameWilliam R Adams Ii
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1245260108
PECOS PAC ID: 0648279737
Enrollment ID: I20061221000158
Provider NameEric Osman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518152404
PECOS PAC ID: 6103911367
Enrollment ID: I20071003000039
Provider NameJeffery Michael Jones
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1295998011
PECOS PAC ID: 1951460997
Enrollment ID: I20081106000175
Provider NameDane Elliott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437301009
PECOS PAC ID: 5597828053
Enrollment ID: I20090108000708
Provider NameJames Murphy
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336183854
PECOS PAC ID: 2365471240
Enrollment ID: I20100130000037
Provider NameSteven D Young
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1215031943
PECOS PAC ID: 0941358873
Enrollment ID: I20100416000817
Provider NameJames M Davis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063516797
PECOS PAC ID: 7416932140
Enrollment ID: I20100419000047
Provider NameBret H Miller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922008754
PECOS PAC ID: 1456401058
Enrollment ID: I20100422000745
Provider NameRoland J Barr
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881709400
PECOS PAC ID: 5496803322
Enrollment ID: I20100628000850
Provider NameThomas W Davis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1295842870
PECOS PAC ID: 0244227841
Enrollment ID: I20100628001033
Provider NameRobert J Golz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184739716
PECOS PAC ID: 6901881630
Enrollment ID: I20100721000590
Provider NameJohn B Wood
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1154425882
PECOS PAC ID: 2062497704
Enrollment ID: I20100722000723
Provider NameRichard L Morgan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1972607604
PECOS PAC ID: 8123003860
Enrollment ID: I20100722000755
Provider NameAmanda L Brazis
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1528354602
PECOS PAC ID: 5092930875
Enrollment ID: I20140711000378
Provider NameShiraz K Patel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699759449
PECOS PAC ID: 9436058286
Enrollment ID: I20151022002121
Provider NameJessica Milburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669833026
PECOS PAC ID: 7911204300
Enrollment ID: I20160330001300
Provider NameNicole L Cheek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659890069
PECOS PAC ID: 2860758976
Enrollment ID: I20171106002660
Provider NameTennyson W Lee
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1518964980
PECOS PAC ID: 9032014923
Enrollment ID: I20190108000076
Provider NameTeresa Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639690191
PECOS PAC ID: 0042557845
Enrollment ID: I20190201001502
Provider NameMichelle L Steh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689235715
PECOS PAC ID: 7012243264
Enrollment ID: I20190725000571
Provider NameKali J Moe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790238160
PECOS PAC ID: 6103104534
Enrollment ID: I20200901002134
Provider NameHaines K Paik
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780889063
PECOS PAC ID: 3274715248
Enrollment ID: I20210309002426
Provider NameGunnar M Galloway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447918123
PECOS PAC ID: 4587056957
Enrollment ID: I20220114000488
Provider NameDavid C Prather
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295511848
PECOS PAC ID: 5890148134
Enrollment ID: I20240202000312
Provider NameBryan G Anderson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760820989
PECOS PAC ID: 9739460718
Enrollment ID: I20240624003284
Provider NameRhett A Macneille
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629574009
PECOS PAC ID: 6608233127
Enrollment ID: I20240625003270
Provider NameDonald D Davis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508353954
PECOS PAC ID: 2769845411
Enrollment ID: I20240822002799
Provider NameAustin Jameson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699201566
PECOS PAC ID: 8022387125
Enrollment ID: I20250306000094
Provider NameJoseph Lambert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396945747
PECOS PAC ID: 4789822362
Enrollment ID: I20250314001042
Provider NameVernon W Duncan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487606984
PECOS PAC ID: 8921010612
Enrollment ID: I20250314001359
Provider NameHarold L Halfhill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407842651
PECOS PAC ID: 3476689852
Enrollment ID: I20250314001486
Provider NameJames D Vanhoose
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144216300
PECOS PAC ID: 3072526748
Enrollment ID: I20250317002685
Provider NameAustin Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649630294
PECOS PAC ID: 6305144098
Enrollment ID: I20250422001241

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. Southern Orthopedic Associates Sc 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
Southern Orthopedic Associates Sc
510 Lincoln Drive,
Herrin, IL 62948

Ph: (618) 997-6800		Southern Orthopedic Associates Sc
510 Lincoln Dr,
Herrin, IL 62948-6334

Ph: (618) 997-6800

Reviews and Comments



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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.

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