Malanna Simmons, is a medicare enrolled "Social Worker" provider in Philadelphia, Pennsylvania. Her current practice location is
6249 Hazel Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(612) 413-4087.
Malanna Simmons is licensed to practice in Pennsylvania (license number SW139002) 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 1760051478.
Healthcare Provider's Profile
Full Name | Malanna Simmons |
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Gender | Female |
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Speciality | Social Worker |
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Location | 6249 Hazel Ave, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760051478
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193102275
- Enrollment ID: I20241010003699
Medical Identifiers
Medical identifiers for Malanna Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760051478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW024839 (Pennsylvania) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | SW139002 (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. Malanna Simmons allows following entities to bill medicare on her behalf.
Entity Name | Telebehavioral Health Us |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194252692 PECOS PAC ID: 9537409701 Enrollment ID: O20190326001153 |
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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. Malanna Simmons 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 |
Malanna Simmons, 6249 Hazel Ave, Philadelphia, PA 19143-1022 Ph: (612) 413-4087 | Malanna Simmons, 6249 Hazel Ave, Philadelphia, PA 19143-1022 Ph: (612) 413-4087 |
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