ELISABETH S SOUTHER MD NPI 1013170141

Internal Medicine in Lebanon, NH

NPI 1013170141 Individual Female Years of Experience 16 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About ELISABETH SOUTHER

Elisabeth Souther is an internal medicine provider established in Lebanon, New Hampshire and her medical specialization is internal medicine with more than 16 years of experience. She graduated from Eastern Virginia Medical School in 2006. The NPI number of Elisabeth Souther is 1013170141 and was assigned on July 2008. The practitioner's primary taxonomy code is 207R00000X with license number 15286 (NH). The provider is registered as an individual and her NPI record was last updated one year ago.

An internist like Elisabeth S Souther Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Elisabeth Souther is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Elisabeth Souther is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mary Hitchcock Memorial Hospital.

NPI

1013170141

Provider Name ELISABETH S SOUTHER MD
Provider Location Address1 MEDICAL CENTER DR LEBANON, NH 03756
Provider Mailing Address1 MEDICAL CENTER DR LEBANON, NH 03756
GenderFemale
NPI Entity TypeIndividual
Medical School NameEASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-09-2008
Last Update Date07-08-2020


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.15286
License StateNH
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

ELISABETH S SOUTHER MD
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-8380
Fax: (603) 653-6110

Get Directions


Mailing Address

ELISABETH S SOUTHER MD
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-8380
Fax: (603) 653-6110



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8426195827
PECOS Enrollment IDI20110914000038
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Elisabeth Souther is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MARY HITCHCOCK MEMORIAL HOSPITAL1 MEDICAL CENTER DRIVE
LEBANON, NH 3756
(603) 650-5000Acute Care Hospitals300003

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program0116019927VANo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1019469MEDICAID (05)VT
32000799MEDICAID (05)NH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215930052MR. BRIAN PATRICK BIRNER CRNA
Individual
Nurse Anesthetist, Certified Registered1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-5922
1265437602DR. JEFFREY K LOW PHARMD
Individual
Pharmacist1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-7615
1255339636 STEPHEN B HOLDERMAN APRN
Individual
Nurse Practitioner (Adult Health)1 MEDICAL CENTER DR DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH 03756
(603) 650-7837
1508866716DR. BERT L. FICHMAN MD
Individual
Anesthesiology (Pain Medicine)1 MEDICAL CENTER DR DHMC DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756
(603) 650-6040
1326040916 ALYSSA GIRARD PA
Individual
Physician Assistant (Surgical)1 MEDICAL CENTER DR DHMC - ORTHOPAEDICS
LEBANON, NH 03756
(603) 650-5133
1992799951 OSCAR KEITH GIBBS PA-C
Individual
Physician Assistant1 MEDICAL CENTER DR DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY
LEBANON, NH 03756
(603) 650-8494
1962498592 TIMOTHY J QUILL MD
Individual
Anesthesiology1 MEDICAL CENTER DR DHMC - DEPT OF CRITICAL CARE
LEBANON, NH 03756
(603) 650-4642
1346238250 LINDA A SPECHT MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)1 MEDICAL CENTER DR DHMC - CHILD DEVELOPMENT
LEBANON, NH 03756
(603) 653-9668
1275522781DR. ANN BIRNER PHARM D
Individual
Pharmacist1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
(603) 650-7362
1316937865 DANIELLE BASTA APRN
Individual
Nurse Practitioner (Family)1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-8630
1225028574DR. CHERI COLETTE MATHER M.D.
Individual
Internal Medicine1 MEDICAL CENTER DR DHMC - DEPARTMENT OF MEDICINE
LEBANON, NH 03756
(603) 650-1070
1083605117DR. DAVID H STONE MD
Individual
Surgery (Vascular Surgery)1 MEDICAL CENTER DR DHMC DEPARTMENT OF SURGERY
LEBANON, NH 03756
(603) 650-4682
1720061153 ADAM R WEINSTEIN MD
Individual
Pediatrics (Pediatric Nephrology)1 MEDICAL CENTER DR DHMC--DEPT OF PEDIATRICS
LEBANON, NH 03756
(603) 653-9884
1467435479MISS LINDSAY ELIZABETH BROOKS PHARMD, BS
Individual
Pharmacist1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-4426
1366426546DR. JACK VAN HOFF MD
Individual
Pediatrics (Pediatric Hematology-Oncology)1 MEDICAL CENTER DR DHMC DEPT OF PEDIATRICS
LEBANON, NH 03756
(603) 650-5541
1073597100DR. LANCE WARHOLD M.D.
Individual
Orthopaedic Surgery1 MEDICAL CENTER DR DHMC ORTHOPAEDICS
LEBANON, NH 03756
(603) 650-8494
1346227956 JAMES L CARROLL JR. MD
Individual
Internal Medicine (Pulmonary Disease)1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-5533
1417934845 COREY BURCHMAN MD
Individual
Anesthesiology (Pain Medicine)1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
(603) 650-5000
1316924624 NICOLE M ORZECHOWSKI D.O.
Individual
Internal Medicine (Rheumatology)1 MEDICAL CENTER DR DHMC DEPARTMENT OF RHEUMATOLOGY
LEBANON, NH 03756
(603) 650-8622
1417937038 ALIX ASHARE MD
Individual
Internal Medicine (Pulmonary Disease)1 MEDICAL CENTER DR DHMC DEPARTMENT OF MEDICINE
LEBANON, NH 03756
(603) 650-5533

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.