Clayton Southern, MD - Medicare Obstetrics & Gynecology in Independence, MO

Clayton Southern, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Independence, Missouri. His current practice location is 19550 E 39th St S Ste 300, Independence, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 478-0220.

Clayton Southern is licensed to practice in Missouri (license number 2023018869) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447818687.

Contact Information

Clayton Southern, MD
19550 E 39th St S Ste 300,
Independence, MO 64057-2306
(816) 478-0220
Not Available



Physician's Profile

Full NameClayton Southern
GenderMale
SpecialityObstetrics & Gynecology
Location19550 E 39th St S Ste 300, Independence, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447818687
  • Provider Enumeration Date: 06/03/2019
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305177569
  • Enrollment ID: I20230622002742

Medical Identifiers

Medical identifiers for Clayton Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447818687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2023018869 (Missouri)Primary
207V00000XObstetrics & Gynecology LL82658 (South Carolina)Secondary

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. Clayton Southern allows following entities to bill medicare on his behalf.
Entity NameSignature Medical Group Of Kc Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992087266
PECOS PAC ID: 7618144056
Enrollment ID: O20120125000559

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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. Clayton 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
Clayton Southern, MD
19550 E 39th St S Ste 300,
Independence, MO 64057-2306

Ph: () -
Clayton Southern, MD
19550 E 39th St S Ste 300,
Independence, MO 64057-2306

Ph: (816) 478-0220

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Obstetrics & Gynecology Doctors in Independence, MO

Thomas Mathews, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 17221 E 23rd St S, Suite #300, Independence, MO 64057
Phone: 816-373-8822    Fax: 816-373-8885
Kiersten M Moreno, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19500 E 39th Street, Suite 300, Independence, MO 64057
Phone: 816-478-0220    Fax: 816-795-3456
Dr. Thomas R Dowd, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4811 S Arrowhead Dr, Independence, MO 64055
Phone: 816-356-5000    Fax: 913-495-3742
Dr. Alisa R Ash, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19550 E 39th St S, Suite 300, Independence, MO 64057
Phone: 816-478-0220    Fax: 816-795-3456
Dr. Leanna Marie Mosher, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19550 E 39th St S, Suite 310, Independence, MO 64057
Phone: 816-350-1828    Fax: 816-350-1844
Dr. Robert Thomas Caffrey, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19550 E 39th St S, Ste 300, Independence, MO 64057
Phone: 816-478-0220    Fax: 816-795-3456

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