Keith M Simnicht, MD in Petal, MS - Medicare Family Practice

Keith M Simnicht, MD is a medicare enrolled "Family Medicine" physician in Petal, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 50 Parkway Ln, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 544-7404.

Keith M Simnicht is licensed to practice in Mississippi (license number 14595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851400410.

Contact Information

	Keith M Simnicht, MD
	50 Parkway Ln, Petal, MS 39465-3035
	(601) 544-7404
	(601) 584-6457

Map and Direction

Physician's Profile

Full Name	Keith M Simnicht
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	50 Parkway Ln, Petal, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith M Simnicht attended and graduated from University Of Mississippi School Of Medicine in 1994

NPI Data:

NPI Number: 1851400410
Provider Enumeration Date: 08/29/2006
Last Update Date: 08/07/2020

Medicare PECOS Information:

PECOS PAC ID: 0042392474
Enrollment ID: I20080124000370

Medical Identifiers

Medical identifiers for Keith M Simnicht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851400410	NPI	-	NPPES
00113836	Medicaid	MS
640507572AZ	Other	MS	AMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	14595 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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. Keith M Simnicht allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Keith M Simnicht 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
Keith M Simnicht, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 544-7404	Keith M Simnicht, MD 50 Parkway Ln, Petal, MS 39465-3035 Ph: (601) 544-7404

Reviews and Comments

Family Medicine Doctors in Petal, MS

Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404
Patricia Lurline Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
Donald V Conerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890

Keith M Simnicht, MD - Medicare Family Practice in Petal, MS