Dr Mary Anne Simmons, is a medicare enrolled "Dentist - General Practice" provider in Port Sanilac, Michigan. Her current practice location is
245 S Ridge St, Port Sanilac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 622-8230.
Dr Mary Anne Simmons is licensed to practice in Michigan (license number 2901012218) 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 1366420762.
Healthcare Provider's Profile
Full Name | Dr Mary Anne Simmons |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 245 S Ridge St, Port Sanilac, Michigan |
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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: 1366420762
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678893476
- Enrollment ID: I20150519001293
Medical Identifiers
Medical identifiers for Dr Mary Anne Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366420762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901012218 (Michigan) | Primary |
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 Mary Anne 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 |
Dr Mary Anne Simmons, 245 S Ridge St, Port Sanilac, MI 48469-9704 Ph: () - | Dr Mary Anne Simmons, 245 S Ridge St, Port Sanilac, MI 48469-9704 Ph: (810) 622-8230 |
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