Dr Samuel Livaudois Simpson, MD is a medicare enrolled "Pediatrics" physician in Moberly, Missouri. His current practice location is
1513 Union Ave, Suite 2300, Moberly, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 263-8309.
Dr Samuel Livaudois Simpson is licensed to practice in Mississippi (license number 20478) 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 1255338349.
Physician's Profile
Full Name | Dr Samuel Livaudois Simpson |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1513 Union Ave, Moberly, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255338349
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294779518
- Enrollment ID: I20090303000069
Medical Identifiers
Medical identifiers for Dr Samuel Livaudois Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255338349 | NPI | - | NPPES |
207268004 | Medicaid | MO | |
04329316 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 20478 (Mississippi) | 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 Samuel Livaudois Simpson allows following entities to bill medicare on his behalf.
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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Entity Name | Memorial Hospital At Gulfport |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
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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 Samuel Livaudois Simpson 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 Samuel Livaudois Simpson, MD 2500 North State Street, Jmm Suite 2525, Jackson, MS 39216-3921 Ph: (601) 815-9528 | Dr Samuel Livaudois Simpson, MD 1513 Union Ave, Suite 2300, Moberly, MO 65270-9407 Ph: (660) 263-8309 |
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