Shaune Corrinne Southern, CRNA - Medicare Nurse Anesthetist, Certified Registered in Allentown, PA

Shaune Corrinne Southern, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Allentown, Pennsylvania. Her current practice location is 1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 402-8000.

Shaune Corrinne Southern is licensed to practice in Pennsylvania (license number RN563642) 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 1124728159.

Contact Information

Shaune Corrinne Southern, CRNA
1200 S Cedar Crest Blvd,
Allentown, PA 18103-6202
(610) 402-8000
Not Available



Physician's Profile

Full NameShaune Corrinne Southern
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1200 S Cedar Crest Blvd, Allentown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124728159
  • Provider Enumeration Date: 03/08/2023
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719320134
  • Enrollment ID: I20240213000765

Medical Identifiers

Medical identifiers for Shaune Corrinne Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124728159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 147127 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered RN563642 (Pennsylvania)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. Shaune Corrinne Southern allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Anesthesia Services, P. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730174731
PECOS PAC ID: 8820992183
Enrollment ID: O20031120000076

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Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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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. Shaune Corrinne 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
Shaune Corrinne Southern, CRNA
2763 Township Rd,
Riegelsville, PA 18077-9520

Ph: (215) 718-4997
Shaune Corrinne Southern, CRNA
1200 S Cedar Crest Blvd,
Allentown, PA 18103-6202

Ph: (610) 402-8000

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