Dr Natalie Renee Simmons, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wildlight, Florida. Her current practice location is
145 Daydream Ave Apt 4108, Wildlight, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 518-1025.
Dr Natalie Renee Simmons is licensed to practice in Florida (license number ME143323) 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 1912140450.
Physician's Profile
| Full Name | Dr Natalie Renee Simmons |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 145 Daydream Ave Apt 4108, Wildlight, Florida |
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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: 1912140450
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688996465
- Enrollment ID: I20150630000789
Medical Identifiers
Medical identifiers for Dr Natalie Renee Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912140450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 0101257670 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 52140 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 050672 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2015-00603 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME143323 (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. Dr Natalie Renee Simmons allows following entities to bill medicare on her behalf.
| Entity Name | Chesapeake Radiologists Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801815063
PECOS PAC ID: 4183619950
Enrollment ID: O20040420000329 |
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| Entity Name | Chesapeake Diagnostic Imaging Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922056241
PECOS PAC ID: 3678524576
Enrollment ID: O20140422001068 |
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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 Natalie Renee 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 Address | Practice Location Address |
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Dr Natalie Renee Simmons, MD
145 Daydream Ave Apt 4108,
Wildlight, FL 32097-5465
Ph: (904) 518-1025 | Dr Natalie Renee Simmons, MD
145 Daydream Ave Apt 4108,
Wildlight, FL 32097-5465
Ph: (904) 518-1025 |
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