Mark O Simon, MD - Medicare Emergency Medicine in Fairbanks, AK

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Mark O Simon, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Fairbanks, Alaska. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Golden Heart Emergency Physicians Inc, Tanana Valley Clinic Llc and his current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 458-5556.

Mark O Simon is licensed to practice in Alaska (license number 4813) 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 1043207533.

Contact Information

Mark O Simon, MD
1650 Cowles St,
Fairbanks, AK 99701-5925
(907) 458-5556
Not Available

Map and Direction




Physician's Profile

Full NameMark O Simon
GenderMale
SpecialityEmergency Medicine
Experience26 Years
Location1650 Cowles St, Fairbanks, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark O Simon attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1043207533
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678474491
  • Enrollment ID: I20050117000563

Medical Identifiers

Medical identifiers for Mark O Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043207533NPI-NPPES
MD2451MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 4813 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairbanks Memorial HospitalFairbanks, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Golden Heart Emergency Physicians Inc165846189216
Tanana Valley Clinic Llc5698056901106

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. Mark O Simon allows following entities to bill medicare on his behalf.
Entity NameMatsu Emergency Medicine Physicians Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073548129
PECOS PAC ID: 1557251022
Enrollment ID: O20040318000130
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952430902
PECOS PAC ID: 5799675120
Enrollment ID: O20040318000605
Entity NameGolden Heart Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649469446
PECOS PAC ID: 1658461892
Enrollment ID: O20071212000298
Entity NameTanana Valley Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991

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. Mark O 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 AddressPractice Location Address
Mark O Simon, MD
Po Box 70087,
Fairbanks, AK 99707-0087

Ph: (907) 460-6667		Mark O Simon, MD
1650 Cowles St,
Fairbanks, AK 99701-5925

Ph: (907) 458-5556

Reviews and Comments


Emergency Medicine Doctors in Fairbanks, AK

Dr. Stephen S Gerrish, MD
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Practice Location: 1408 19th Ave, Tanana Chiefs Conference, Fairbanks, AK 99701
Phone: 907-451-6682    Fax: 907-459-3811
Dr. Caroline Elizabeth Timmerman, MD
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Practice Location: 1650 Cowles St, Fairbanks, AK 99701
Phone: 907-458-5555    
Carol J Phillips, MD
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Practice Location: 1650 Cowles St, Fairbanks, AK 99701
Phone: 907-458-5555    
John Browning Bass, MD
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Practice Location: 4076 Neely Rd, Fairbanks, AK 99703
Phone: 907-361-5172    
Dr. Leonie Horster Deramus, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1867 Airport Way, Ste 130b, Fairbanks, AK 99701
Phone: 907-452-2178    Fax: 907-452-3524
Art J Strauss, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1650 Cowles St, Fairbanks, Fairbanks, AK 99701
Phone: 907-458-5555    

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.