Dr Thomas Jason Sendrijas Simon, MD is a
Student In An Organized Health Care Education/training Program physician based in Lafayette, Louisiana. Dr Thomas Jason Sendrijas Simon is licensed to practice in Louisiana (license number 332105) and his current practice location is 2390 W Congress St, Lafayette, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(337) 261-6156.
NPI number for Dr Thomas Jason Sendrijas Simon is 1245807957 and his current mailing address is 2390 W Congress St, Lafayette, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245807957.
Physician's Profile
| Full Name | Dr Thomas Jason Sendrijas Simon |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2390 W Congress St, Lafayette, Louisiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245807957
- Provider Enumeration Date: 06/10/2021
- Last Update Date: 07/01/2022
Medical Identifiers
Medical identifiers for Dr Thomas Jason Sendrijas Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245807957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 12985 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 332105 (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 Thomas Jason Sendrijas Simon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Jason Sendrijas Simon, MD
2390 W Congress St,
Lafayette, LA 70506-4205
Ph: (318) 805-3633 | Dr Thomas Jason Sendrijas Simon, MD
2390 W Congress St,
Lafayette, LA 70506-4205
Ph: (337) 261-6156 |
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