Mr Tyrone Antonio Simon, MSW, LCSW - Medicare Clinical Social Worker in Phoenix, AZ

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Mr Tyrone Antonio Simon, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. His current practice location is 14429 N 33rd Pl, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (803) 397-7466.

Mr Tyrone Antonio Simon is licensed to practice in Arizona (license number LCSW-18300) 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 1619212792.

Contact Information

Mr Tyrone Antonio Simon, MSW, LCSW
14429 N 33rd Pl,
Phoenix, AZ 85032-5335
(803) 397-7466
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Tyrone Antonio Simon
GenderMale
SpecialitySocial Worker - Clinical
Location14429 N 33rd Pl, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619212792
  • Provider Enumeration Date: 11/30/2012
  • Last Update Date: 05/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254714280
  • Enrollment ID: I20220823004098

Medical Identifiers

Medical identifiers for Mr Tyrone Antonio Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619212792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C008184 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical LCSW-18300 (Arizona)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. Mr Tyrone Antonio Simon allows following entities to bill medicare on his behalf.
Entity NameCaregivers2 Assist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821602889
PECOS PAC ID: 4385027499
Enrollment ID: O20220822002433
Entity NamePlsn Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659044766
PECOS PAC ID: 4082099114
Enrollment ID: O20220909002480
Entity NameMilestone Recovery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316607658
PECOS PAC ID: 5991178261
Enrollment ID: O20230307002650
Entity NameDutiful Angels Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821765207
PECOS PAC ID: 1557715430
Enrollment ID: O20230926002860

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. Mr Tyrone Antonio 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 AddressPractice Location Address
Mr Tyrone Antonio Simon, MSW, LCSW
14429 N 33rd Pl,
Phoenix, AZ 85032-5335

Ph: (803) 397-7466		Mr Tyrone Antonio Simon, MSW, LCSW
14429 N 33rd Pl,
Phoenix, AZ 85032-5335

Ph: (803) 397-7466

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.