Charla E Simon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lincolnwood, Illinois. She went to Michigan State University College Of Human Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
6810 N Mccormick Blvd, Lincolnwood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 674-6900.
Charla E Simon is licensed to practice in Illinois (license number 036107475) 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 1700890969.
Physician's Profile
| Full Name | Charla E Simon |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 6810 N Mccormick Blvd, Lincolnwood, Illinois |
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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:
- Charla E Simon attended and graduated from Michigan State University College Of Human Medicine in 2000
NPI Data:
- NPI Number: 1700890969
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567432826
- Enrollment ID: I20040727000010
Medical Identifiers
Medical identifiers for Charla E Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700890969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 036107475 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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. Charla E Simon allows following entities to bill medicare on her behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Charla E 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 |
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Charla E Simon, MD
2650 Ridge Ave, Evanston Hospital,
Evanston, IL 60201-1718
Ph: (847) 570-1206 | Charla E Simon, MD
6810 N Mccormick Blvd,
Lincolnwood, IL 60712-2709
Ph: (847) 674-6900 |
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