Donna Simmons, MD - Medicare Pediatrics in Miami, FL

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Donna Simmons, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Miami, Florida. Her current practice location is 3100 Sw 62nd Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 666-6511.

Donna Simmons is licensed to practice in Florida (license number ME157246) 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 1811068398.

Contact Information

Donna Simmons, MD
3100 Sw 62nd Ave,
Miami, FL 33155-3009
(305) 666-6511
Not Available

Map and Direction




Physician's Profile

Full NameDonna Simmons
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location3100 Sw 62nd Ave, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811068398
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638152341
  • Enrollment ID: I20040611000993

Medical Identifiers

Medical identifiers for Donna Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811068398NPI-NPPES
01922247MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 204059 (New York)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine ME157246 (Florida)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. Donna Simmons allows following entities to bill medicare on her behalf.
Entity NameSt. Joseph's Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568791192
PECOS PAC ID: 5092996181
Enrollment ID: O20110223000002
Entity NamePassaic River Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962162644
PECOS PAC ID: 4486041514
Enrollment ID: O20220420000861

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. Donna 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
Donna Simmons, MD
3100 Sw 62nd Ave,
Miami, FL 33155-3009

Ph: (305) 666-6511		Donna Simmons, MD
3100 Sw 62nd Ave,
Miami, FL 33155-3009

Ph: (305) 666-6511

Reviews and Comments


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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.