Edward Simon, MD is a medicare enrolled "Internal Medicine" physician in Kingston, Washington. His current practice location is
25989 Barber Cut Off Rd Ne, Suite A3, Kingston, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 297-4911.
Edward Simon is licensed to practice in Washington (license number MD60604626) 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 1396723466.
Physician's Profile
Full Name | Edward Simon |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 25989 Barber Cut Off Rd Ne, Kingston, Washington |
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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: 1396723466
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 03/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 7517870983
- Enrollment ID: I20100916000304
Medical Identifiers
Medical identifiers for Edward Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396723466 | NPI | - | NPPES |
002016158 | Medicaid | NV | |
11041825 | Other | | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5686 (Nevada) | Secondary |
207R00000X | Internal Medicine | MD60604626 (Washington) | 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. Edward Simon allows following entities to bill medicare on his behalf.
Entity Name | Healthcare Partners Medical Group Coats Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898 |
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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. Edward 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 Address | Practice Location Address |
Edward Simon, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Edward Simon, MD 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 Ph: (360) 297-4911 |
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