Edith M Simmons, MD - Medicare Nephrology in Austin, TX

Edith M Simmons, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Austin, Texas. She went to University Of Mississippi School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Preventative Care Health Services Inc and her current practice location is 321 W Ben White Blvd, Ste 205, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 451-5800.

Edith M Simmons is licensed to practice in Texas (license number L9483) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639112683.

Contact Information

Edith M Simmons, MD
321 W Ben White Blvd, Ste 205,
Austin, TX 78704-7087
(512) 451-5800
(512) 459-1399

Map and Direction




Physician's Profile

Full NameEdith M Simmons
GenderFemale
SpecialityNephrology
Experience27 Years
Location321 W Ben White Blvd, Austin, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edith M Simmons attended and graduated from University Of Mississippi School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1639112683
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0941277594
  • Enrollment ID: I20040913001252

Medical Identifiers

Medical identifiers for Edith M Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639112683NPI-NPPES
170593103MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology L9483 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Big Bend Regional Medical CenterAlpine, TXHospital
Midland Memorial HospitalMidland, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Preventative Care Health Services Inc51938230457

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. Edith M Simmons allows following entities to bill medicare on her behalf.
Entity NamePreventative Care Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013196625
PECOS PAC ID: 5193823045
Enrollment ID: O20091110000495

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. Edith M 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 AddressPractice Location Address
Edith M Simmons, MD
408 W 45th St,
Austin, TX 78751-3014

Ph: (512) 451-5800
Edith M Simmons, MD
321 W Ben White Blvd, Ste 205,
Austin, TX 78704-7087

Ph: (512) 451-5800

Reviews and Comments


Internal Medicine Doctors in Austin, TX

Dr. Tatiana B. Jacobson, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746
Phone: 512-323-5465    Fax: 512-327-1390
Preeti Venkatraman, M.B.B.S.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 601 E 15th St, Austin, TX 78701
Phone: 512-324-7000    
Pritesh Harish Gandhi, M.D., M.P.H.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1101 Camino La Costa, Austin, TX 78752
Phone: 512-684-1832    
Dr. Joshua Lane Davis, D.O.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705
Phone: 512-324-3440    
Dr. Grace Marie Grant-jennings, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731
Phone: 512-482-0045    Fax: 512-476-9892
Dr. Debra Ann Patt, MD, MPH
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 6204 Balcones Dr, Austin, TX 78731
Phone: 512-427-9400    Fax: 512-342-2723
Dr. Matthew Morris Medlock, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 6233 Carrington Dr, Austin, TX 78749
Phone: 512-293-0247    

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.