Dr Kerry Simmonds, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Solana Beach, California. Her current practice location is
530 Lomas Santa Fe Dr Ste G, Solana Beach, California. You can reach out to her office (for appointments etc.) via phone at
(858) 755-6024.
Dr Kerry Simmonds is licensed to practice in California (license number 304532) 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 1174205207.
Physician's Profile
| Full Name | Dr Kerry Simmonds |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 530 Lomas Santa Fe Dr Ste G, Solana Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174205207
- Provider Enumeration Date: 08/07/2023
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284079963
- Enrollment ID: I20240304003737
Medical Identifiers
Medical identifiers for Dr Kerry Simmonds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174205207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 304532 (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 Kerry Simmonds allows following entities to bill medicare on her behalf.
| Entity Name | Sd Sports Medicine And Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669472510
PECOS PAC ID: 7113812496
Enrollment ID: O20040315001639 |
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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. Dr Kerry Simmonds 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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Dr Kerry Simmonds, DPT
4130 Haines St Apt 9a,
San Diego, CA 92109-5395
Ph: () - | Dr Kerry Simmonds, DPT
530 Lomas Santa Fe Dr Ste G,
Solana Beach, CA 92075-1346
Ph: (858) 755-6024 |
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