Renee Simone, APRN, LICSW, LADC I is a medicare enrolled "Nurse Practitioner - Primary Care" provider in Chicopee, Massachusetts. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
71 Mary St, Chicopee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 536-1918.
Renee Simone is licensed to practice in Connecticut (license number 7234) 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 1053497206.
Healthcare Provider's Profile
| Full Name | Renee Simone |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 71 Mary St, Chicopee, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Renee Simone graduated from medical school in 2017
NPI Data:
- NPI Number: 1053497206
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 05/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385638212
- Enrollment ID: I20200511001471
Medical Identifiers
Medical identifiers for Renee Simone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053497206 | NPI | - | NPPES |
| 2197528 | Other | MA | CIGNA |
| 1036490 | Other | MA | NHP |
| 861096515 | Other | MA | AETNA |
| P08297 | Other | MA | BC/BS |
| 1053497206 | Medicaid | CT | |
| 1853171 | Medicaid | MA | |
| 726247000 | Other | MA | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1181 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111795 (Massachusetts) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | MS1125839N (Massachusetts) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 7234 (Connecticut) | 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. Renee Simone allows following entities to bill medicare on her behalf.
| Entity Name | Change Happens, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831359603
PECOS PAC ID: 4183783384
Enrollment ID: O20081103000410 |
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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. Renee Simone 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 |
|---|
Renee Simone, APRN, LICSW, LADC I
71 Mary St Ste 1802,
Chicopee, MA 01020-1139
Ph: (919) 793-6862 | Renee Simone, APRN, LICSW, LADC I
71 Mary St,
Chicopee, MA 01020-1139
Ph: (413) 536-1918 |
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