Shelley G Simon, LCSW - Medicare Clinical Social Worker in Fairfax, OK

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Shelley G Simon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Oklahoma. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairfax Medical Facilities Inc and her current practice location is 212 N Main St, Fairfax, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 642-3100.

Shelley G Simon is licensed to practice in Oklahoma (license number 3049) 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 1336382217.

Contact Information

Shelley G Simon, LCSW
212 N Main St,
Fairfax, OK 74637-3023
(918) 642-3100
(918) 642-5639

Map and Direction




Healthcare Provider's Profile

Full NameShelley G Simon
GenderFemale
SpecialityClinical Social Worker
Experience22 Years
Location212 N Main St, Fairfax, Oklahoma
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:
  • Shelley G Simon graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1336382217
  • Provider Enumeration Date: 04/08/2009
  • Last Update Date: 12/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0941458673
  • Enrollment ID: I20120921000015

Medical Identifiers

Medical identifiers for Shelley G Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336382217NPI-NPPES
394452YRHZOtherOKGROUP PTAN
200240990AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 3049 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairfax Medical Facilities Inc428466336016

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. Shelley G Simon allows following entities to bill medicare on her behalf.
Entity NameFairfax Medical Facilities Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538183173
PECOS PAC ID: 4284663360
Enrollment ID: O20060209000250
Entity NameFortis Therapy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962708883
PECOS PAC ID: 6709035330
Enrollment ID: O20120925000767

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. Shelley G 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
Shelley G Simon, LCSW
212 N Main St,
Fairfax, OK 74637-3023

Ph: (918) 642-3100		Shelley G Simon, LCSW
212 N Main St,
Fairfax, OK 74637-3023

Ph: (918) 642-3100

Reviews and Comments


Social Worker in Fairfax, OK

Wanda W Priddy, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 301 N 2nd St, Fairfax, OK 74637
Phone: 918-642-3515    Fax: 918-642-3519

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.