Bob T Souder, MD - Medicare Gastroenterology in Jackson, TN

Bob T Souder, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Jackson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1974 and has 50 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Trans South Health Care Pllc and his current practice location is 9 Physicians Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 661-0086.

Bob T Souder is licensed to practice in Tennessee (license number 8762) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316934664.

Contact Information

Bob T Souder, MD
9 Physicians Dr,
Jackson, TN 38305-2071
(731) 661-0086
(731) 661-0281



Physician's Profile

Full NameBob T Souder
GenderMale
SpecialityGastroenterology
Experience50 Years
Location9 Physicians Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bob T Souder attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1974
  NPI Data:
  • NPI Number: 1316934664
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335136571
  • Enrollment ID: I20101215000916

Medical Identifiers

Medical identifiers for Bob T Souder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316934664NPI-NPPES
3172171MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 8762 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trans South Health Care Pllc09412971704

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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. Bob T Souder allows following entities to bill medicare on his behalf.
Entity NameTrans South Health Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659368900
PECOS PAC ID: 0941297170
Enrollment ID: O20040428001414

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Entity NameGastroenterology Center Of The Midsouth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417932492
PECOS PAC ID: 4880619824
Enrollment ID: O20060201000753

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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. Bob T Souder 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
Bob T Souder, MD
Po Box 11567,
Jackson, TN 38308-0126

Ph: (731) 661-0086
Bob T Souder, MD
9 Physicians Dr,
Jackson, TN 38305-2071

Ph: (731) 661-0086

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Internal Medicine Doctors in Jackson, TN

John Baker, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 587 Skyline Dr, Jackson, TN 38301
Phone: 731-421-6510    Fax: 731-421-6500
Dr. Susan Alex, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305
Phone: 731-668-4337    Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8336
Kpienoba Manan Hien, M.D
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Lucas Carver,
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Dr. Clyde E Smith, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    
Brittain Douglas Little, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    Fax: 731-426-0388

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