Ms Dorothea Burget Southwick, PT - Medicare Physical Therapist in Champlain, NY

Ms Dorothea Burget Southwick, PT is a medicare enrolled "Physical Therapist" provider in Champlain, New York. She graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 34 Beeman Way, Champlain, New York. You can reach out to her office (for appointments etc.) via phone at (518) 298-1111.

Ms Dorothea Burget Southwick is licensed to practice in New York (license number 0065281) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689661092.

Contact Information

Ms Dorothea Burget Southwick, PT
34 Beeman Way,
Champlain, NY 12919
(518) 298-1111
(518) 298-1111



Healthcare Provider's Profile

Full NameMs Dorothea Burget Southwick
GenderFemale
SpecialityPhysical Therapy
Experience44 Years
Location34 Beeman Way, Champlain, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dorothea Burget Southwick graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1689661092
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 12/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072571694
  • Enrollment ID: I20041230000366

Medical Identifiers

Medical identifiers for Ms Dorothea Burget Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689661092NPI-NPPES
000405998001OtherNYBLUE SHIELD OF NORTHEASTE
Q66832OtherNYEMPIRE BCBS
110409700OtherUS DEPT OF LABOR OWCP
Q66831OtherNYEMPIRE BLUE CROSS/EMPIRE
141733498OtherNYEMPIRE STATE PLAN GROUP
GRP405998002OtherNYBLUE SHIELD OF NORTHEASTE
650005243OtherRAILROAD MEDICARE
819687OtherNYEMPIRE STATE PLAN
141733498OtherNYEXCELLUS BLUE CROSS BLUE
P01010652OtherNYEXCELLUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 0065281 (New York)Primary

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. Ms Dorothea Burget Southwick 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
Ms Dorothea Burget Southwick, PT
Po Box 702,
Champlain, NY 12919

Ph: (518) 298-1111
Ms Dorothea Burget Southwick, PT
34 Beeman Way,
Champlain, NY 12919

Ph: (518) 298-1111

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Physical Therapist in Champlain, NY


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