James M Simmering, MD - Medicare Internal Medicine in Maryville, IL

James M Simmering, MD is a medicare enrolled "Internal Medicine" physician in Maryville, Illinois. His current practice location is 6812 State Route 162, Suite 120, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 288-1122.

James M Simmering is licensed to practice in Illinois (license number 036067473) 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 1700973351.

Contact Information

James M Simmering, MD
6812 State Route 162, Suite 120,
Maryville, IL 62062-8553
(618) 288-1122
(618) 288-1144

Map and Direction




Physician's Profile

Full NameJames M Simmering
GenderMale
SpecialityInternal Medicine
Location6812 State Route 162, Maryville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700973351
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 01/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0941251078
  • Enrollment ID: I20050207000574

Medical Identifiers

Medical identifiers for James M Simmering such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700973351NPI-NPPES
036067473MedicaidIL
08232205OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036067473 (Illinois)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. James M Simmering allows following entities to bill medicare on his behalf.
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350

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. James M Simmering 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
James M Simmering, MD
6812 State Route 162, Suite 120,
Maryville, IL 62062-8553

Ph: (618) 288-1122
James M Simmering, MD
6812 State Route 162, Suite 120,
Maryville, IL 62062-8553

Ph: (618) 288-1122

Reviews and Comments


Internal Medicine Doctors in Maryville, IL

Mr. Eddie Lynn Paulk, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Route 162 Ste 21, Maryville, IL 62062
Phone: 618-288-5566    Fax: 618-288-4005
Dr. Christopher Farrar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6800 State Route 162, Maryville, IL 62062
Phone: 618-288-4095    Fax: 618-288-2984
Syed M Arshad, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2227 Vadalabene Dr, Suite 100, Maryville, IL 62062
Phone: 618-288-1140    
Dr. Willis Ko, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6810 State Route 162 Ste 102b, Maryville, IL 62062
Phone: 618-288-4076    Fax: 618-288-4215
Barbara Joy Foner, MD MPH FCCP ABSM
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Rte 162 Suite 202, Maryville, IL 62062
Phone: 618-288-6844    Fax: 618-288-6852
Dr. Sajid Mehmood, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6800 State Route 162, Maryville, IL 62062
Phone: 618-288-5711    Fax: 618-288-4088
Dr. Henry Purcell, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Route 162 Ste 121, Maryville, IL 62062
Phone: 618-391-6910    

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).

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