Dr Mark Andrew Simmons, DDS - Medicare Dentist in La Vernia, TX

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Dr Mark Andrew Simmons, DDS is a medicare enrolled "Dentist" provider in La Vernia, Texas. His current practice location is 13549 Us Hwy 87 W, La Vernia, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 779-6511.

Dr Mark Andrew Simmons is licensed to practice in Texas (license number TX14122) 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 1710970389.

Contact Information

Dr Mark Andrew Simmons, DDS
13549 Us Hwy 87 W,
La Vernia, TX 78121-5879
(830) 779-6511
(830) 779-1711

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark Andrew Simmons
GenderMale
SpecialityDentist
Location13549 Us Hwy 87 W, La Vernia, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710970389
  • Provider Enumeration Date: 08/29/2005
  • Last Update Date: 05/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284934852
  • Enrollment ID: I20240529002818

Medical Identifiers

Medical identifiers for Dr Mark Andrew Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710970389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist TX14122 (Texas)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 Mark Andrew Simmons allows following entities to bill medicare on his behalf.
Entity NameSleep Better La Vernia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235909441
PECOS PAC ID: 0446692974
Enrollment ID: O20240529001626

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 Mark Andrew 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 AddressPractice Location Address
Dr Mark Andrew Simmons, DDS
P.o. Box 1294, 13549 Us Hwy 87 W,
La Vernia, TX 78121-5879

Ph: (830) 779-6511		Dr Mark Andrew Simmons, DDS
13549 Us Hwy 87 W,
La Vernia, TX 78121-5879

Ph: (830) 779-6511

Reviews and Comments


Dentist in La Vernia, TX

Dr. David L Fleitas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Chihuahua Street, The Dental Depot, La Vernia, TX 78121
Phone: 830-779-3013    

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.