Dr Larry Edward Simon, DC is a medicare enrolled "Chiropractor" provider in Garden City, South Carolina. He went to Life Chiropractic College and graduated in 1986 and has 38 years of diverse experience with area of expertise as Chiropractic. His current practice location is
3103 S Highway 17, Garden City, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 357-3800.
Dr Larry Edward Simon is licensed to practice in South Carolina (license number 1332) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1265411193.
Healthcare Provider's Profile
| Full Name | Dr Larry Edward Simon |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 38 Years |
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| Location | 3103 S Highway 17, Garden City, South Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larry Edward Simon attended and graduated from Life Chiropractic College in 1986
NPI Data:
- NPI Number: 1265411193
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850565284
- Enrollment ID: I20111122000305
Medical Identifiers
Medical identifiers for Dr Larry Edward Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265411193 | NPI | - | NPPES |
| CH1332 | Medicaid | SC | |
| GCH150 | Medicaid | SC | |
| 616070 | Other | SC | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1332 (South Carolina) | 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. Dr Larry Edward Simon allows following entities to bill medicare on his behalf.
| Provider Name | Surfside Chiropractic Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710074174
PECOS PAC ID: 6709050131
Enrollment ID: O20111202000553 |
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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. Dr Larry Edward Simon 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 Address | Practice Location Address |
|---|
Dr Larry Edward Simon, DC
3103 S Highway 17,
Garden City, SC 29576-7629
Ph: (843) 357-3800 | Dr Larry Edward Simon, DC
3103 S Highway 17,
Garden City, SC 29576-7629
Ph: (843) 357-3800 |
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