Dr John W Simon, MD - Medicare Ophthalmology in Latham, NY

Dr John W Simon, MD is a medicare enrolled "Ophthalmology" physician in Latham, New York. His current practice location is 920 Albany Shaker Rd, Suite 101, Latham, New York. You can reach out to his office (for appointments etc.) via phone at (518) 533-6502.

Dr John W Simon is licensed to practice in New York (license number 134338) 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 1093770323.

Contact Information

Dr John W Simon, MD
920 Albany Shaker Rd, Suite 101,
Latham, NY 12110
(518) 533-6502
(518) 533-6505

Map and Direction




Physician's Profile

Full NameDr John W Simon
GenderMale
SpecialityOphthalmology
Location920 Albany Shaker Rd, Latham, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093770323
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163442229
  • Enrollment ID: I20051205000094

Medical Identifiers

Medical identifiers for Dr John W Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093770323NPI-NPPES
206233OtherNYWELLCARE
000406953005OtherNYBLUE SHIELD
0499000OtherNYGHI
1001534MedicaidVT
17149OtherNYMVP
180045196OtherNYRAILROAD MEDICARE
409A91OtherNYBLUE CROSS
58812OtherNYGHI HMO
00652988MedicaidNY
10006172OtherNYCDPHP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 134338 (New York)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 John W Simon allows following entities to bill medicare on his behalf.
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497921688
PECOS PAC ID: 1759293111
Enrollment ID: O20190320001621

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 John W 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 AddressPractice Location Address
Dr John W Simon, MD
920 Albany Shaker Rd, Suite 101,
Latham, NY 12110

Ph: (518) 533-6502
Dr John W Simon, MD
920 Albany Shaker Rd, Suite 101,
Latham, NY 12110

Ph: (518) 533-6502

Reviews and Comments


Ophthalmology Doctors in Latham, NY

Dr. Gerard Patrick Barry, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Albany Shaker Rd, Suite 101, Latham, NY 12110
Phone: 518-533-6502    Fax: 518-533-6505
Dr. Zachary Joseph Roth, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110
Phone: 518-782-7827    
Dr. Robert E Brass, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110
Phone: 518-782-7827    Fax: 518-782-7820
Mr. Peter G Kansas, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 24 Century Hill Dr, Suite 001, Latham, NY 12110
Phone: 518-690-2015    Fax: 518-690-0353
Mr. Peter Joseph Ness, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Albany Shaker Rd, Suite 101, Latham, NY 12110
Phone: 518-480-6216    Fax: 518-533-6505
Dr. George O Stasior, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 930 Albany Shaker Rd, Suite 102, Latham, NY 12110
Phone: 518-220-1400    Fax: 518-220-1404

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.