Dr Segun V Simon, MD - Medicare Internal Medicine in Maplewood, NJ

Dr Segun V Simon, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Maplewood, New Jersey. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 2130 Millburn Ave, Suite C-3, Maplewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 996-2727.

Dr Segun V Simon is licensed to practice in New Jersey (license number 25MA08683000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194956490.

Contact Information

Dr Segun V Simon, MD
2130 Millburn Ave, Suite C-3,
Maplewood, NJ 07040-3725
(973) 996-2727
(973) 763-2558

Map and Direction




Physician's Profile

Full NameDr Segun V Simon
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location2130 Millburn Ave, Maplewood, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Segun V Simon graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1194956490
  • Provider Enumeration Date: 08/04/2009
  • Last Update Date: 11/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608920889
  • Enrollment ID: I20120920000116

Medical Identifiers

Medical identifiers for Dr Segun V Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194956490NPI-NPPES
0371254MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 25MA08683000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hillside Dialysis CtrHillside, NJDialysis facility
Newark Beth Israel Medical CenterNewark, NJHospital
Saint Barnabas Medical CenterLivingston, NJHospital
Clara Maass Medical CenterBelleville, NJHospital

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 Segun V Simon allows following entities to bill medicare on his behalf.
Entity NameKidney Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871918615
PECOS PAC ID: 7911130430
Enrollment ID: O20140507000584

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 Segun V 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 Segun V Simon, MD
Po Box 373,
Short Hills, NJ 07078-0373

Ph: (973) 996-2727
Dr Segun V Simon, MD
2130 Millburn Ave, Suite C-3,
Maplewood, NJ 07040-3725

Ph: (973) 996-2727

Reviews and Comments


Internal Medicine Doctors in Maplewood, NJ

Dr. Samuel T Duncan, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2040 Millburn Ave, Suite 303, Maplewood, NJ 07040
Phone: 973-762-4996    Fax: 973-762-4955
Shailender Karry Mohanrao, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2115 Millburn Ave, Suite L2, Maplewood, NJ 07040
Phone: 973-275-1322    Fax: 973-900-8917
Shirish C Patrawalla, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 264 Boyden Ave, Maplewood, NJ 07040
Phone: 973-763-4120    Fax: 973-763-1713
Sunil Patel, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2010 Springfield Ave, Maplewood, NJ 07040
Phone: 973-275-9500    Fax: 973-275-9501
Dr. Khalil Ahmed Kaid,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2168 Millburn Ave, Suite 204, Maplewood, NJ 07040
Phone: 973-762-3353    Fax: 973-762-3370
Dr. Arvind K Grover, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2168 Millburn Ave, Maplewood, NJ 07040
Phone: 973-763-5765    Fax: 973-763-0505

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.