Dr Fred Joseph Simon Jr, MD - Medicare Surgery in La Jolla, CA

Dr Fred Joseph Simon Jr, MD is a medicare enrolled "Surgery" physician in La Jolla, California. His current practice location is 9888 Genesee Ave, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (619) 990-1344.

Dr Fred Joseph Simon Jr is licensed to practice in California (license number C42394) 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 1568525566.

Contact Information

Dr Fred Joseph Simon Jr, MD
9888 Genesee Ave,
La Jolla, CA 92037-1205
(619) 990-1344
(858) 626-6354

Map and Direction




Physician's Profile

Full NameDr Fred Joseph Simon Jr
GenderMale
SpecialitySurgery
Location9888 Genesee Ave, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568525566
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527961671
  • Enrollment ID: I20231013003195

Medical Identifiers

Medical identifiers for Dr Fred Joseph Simon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568525566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery C42394 (California)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 Fred Joseph Simon Jr allows following entities to bill medicare on his behalf.
Entity NameProwers County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821052929
PECOS PAC ID: 4486568508
Enrollment ID: O20031113000509

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 Fred Joseph Simon Jr 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 Fred Joseph Simon Jr, MD
9888 Genesee Ave,
La Jolla, CA 92037-1205

Ph: (619) 990-1344
Dr Fred Joseph Simon Jr, MD
9888 Genesee Ave,
La Jolla, CA 92037-1205

Ph: (619) 990-1344

Reviews and Comments


Surgery Doctors in La Jolla, CA

Dr. Howard Takiff, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 760 La Canada St, La Jolla, CA 92037
Phone: 949-981-4018    
Mahmoud Malas, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9434 Medical Center Dr Fl 1, La Jolla, CA 92037
Phone: 619-543-6980    Fax: 858-657-5033
Theodore Hobart Welling, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3855 Health Sciences Dr, La Jolla, CA 92093
Phone: 800-926-8273    
Cheryl Lorraine Olson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9850 Genesee Ave, Suite 660, La Jolla, CA 92037
Phone: 858-452-5054    Fax: 858-452-5097
James G. Schwendig, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9888 Genesee Ave, Lj-601, La Jolla, CA 92037
Phone: 858-626-6350    Fax: 858-626-6354
Angeles Baquerizo,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd # 200n, La Jolla, CA 92037
Phone: 858-544-4310    
Dr. David Alexander Frankel, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-554-8988    

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.