Dr Lisa Simon, MD, DMD is a medicare enrolled "Internal Medicine" provider in Boston, Massachusetts. Her current practice location is
75 Francis St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 732-5775.
Dr Lisa Simon is licensed to practice in Massachusetts (license number 1013196) 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 1730594458.
Healthcare Provider's Profile
| Full Name | Dr Lisa Simon |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 75 Francis St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730594458
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113227182
- Enrollment ID: I20230929002090
Medical Identifiers
Medical identifiers for Dr Lisa Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730594458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN1856591 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 1013196 (Massachusetts) | 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 Lisa Simon allows following entities to bill medicare on her behalf.
| Entity Name | Brigham & Womens Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260 |
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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 Lisa 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 Lisa Simon, MD, DMD
75 Francis St,
Boston, MA 02115-6110
Ph: (617) 732-5500 | Dr Lisa Simon, MD, DMD
75 Francis St,
Boston, MA 02115-6106
Ph: (617) 732-5775 |
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