Dr Llewellyn Simon, MD is a medicare enrolled "Internal Medicine" physician in Lake Providence, Louisiana. His current practice location is
320 N Hood St, Lake Providence, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 559-2404.
Dr Llewellyn Simon is licensed to practice in Louisiana (license number 11828R) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063494128.
Physician's Profile
Full Name | Dr Llewellyn Simon |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 320 N Hood St, Lake Providence, Louisiana |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Llewellyn Simon attended and graduated from in
NPI Data:
- NPI Number: 1063494128
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 10/16/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Llewellyn Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063494128 | NPI | - | NPPES |
11828R | Other | LA | STATE LICENSE |
1680893 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 11828R (Louisiana) | Primary |
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 Llewellyn 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 |
Dr Llewellyn Simon, MD 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404 | Dr Llewellyn Simon, MD 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404 |
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