Ka-lisha Mae Simons, MD in Statesville, NC - Medicare Psychiatry & Neurology

Ka-lisha Mae Simons, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Statesville, North Carolina. Her current practice location is 1450 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 818-9191.

Ka-lisha Mae Simons is licensed to practice in North Carolina (license number 2024-00805) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386209856.

Contact Information

	Ka-lisha Mae Simons, MD
	1450 Fern Creek Dr, Statesville, NC 28625-9376
	(704) 818-9191
	(704) 872-3782

Map and Direction

Physician's Profile

Full Name	Ka-lisha Mae Simons
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1450 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386209856
Provider Enumeration Date: 05/09/2019
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2567843220
Enrollment ID: I20240304002053

Medical Identifiers

Medical identifiers for Ka-lisha Mae Simons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386209856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	25MA11444800 (New Jersey)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2024-00805 (North Carolina)	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. Ka-lisha Mae Simons allows following entities to bill medicare on her behalf.

Entity Name	Acadia Hospital Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136

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. Ka-lisha Mae Simons 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
Ka-lisha Mae Simons, MD 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1900	Ka-lisha Mae Simons, MD 1450 Fern Creek Dr, Statesville, NC 28625-9376 Ph: (704) 818-9191

Reviews and Comments

Psychiatry & Neurology Doctors in Statesville, NC

Suja Raju, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 766 Hartness Rd, Statesville, NC 28677 Phone: 704-380-3620
Elizabeth Ann Wright, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 276 Old Mocksville Rd, Suite 500, Statesville, NC 28625 Phone: 704-878-6467 Fax: 704-878-6467
Dr. Mona S. Ismail, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 766 Hartness Rd, Statesville, NC 28677 Phone: 704-380-3620 Fax: 704-380-3623
Benjamin Robert Stacy, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1703 Davie Ave, Statesville, NC 28677 Phone: 704-818-9191 Fax: 704-862-5324
Karen L Melendez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1703 Davie Ave, Statesville, NC 28677 Phone: 704-819-9191 Fax: 704-872-3782
Trishwant Singh Garcha, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 750 Hartness Rd Ste E, Statesville, NC 28677 Phone: 704-924-7575 Fax: 704-924-7877
Dr. Andrew Venters Owens, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7457 Fax: 704-838-7435

Ka-lisha Mae Simons, MD - Medicare Psychiatry & Neurology in Statesville, NC