Paul J Simon, DO - Medicare Pathology in Toms River, NJ

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Paul J Simon, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Toms River, New Jersey. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1982 and has 42 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathlink Of New Jersey and his current practice location is 99 Highway 37, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 557-8000.

Paul J Simon is licensed to practice in New Jersey (license number MB048321) 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 1417908468.

Contact Information

Paul J Simon, DO
99 Highway 37,
Toms River, NJ 08755-6423
(732) 557-8000
Not Available

Map and Direction




Physician's Profile

Full NamePaul J Simon
GenderMale
SpecialityPathology
Experience42 Years
Location99 Highway 37, Toms River, New Jersey
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:
  • Paul J Simon attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1982
  NPI Data:
  • NPI Number: 1417908468
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 08/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7012935976
  • Enrollment ID: I20051109000411

Medical Identifiers

Medical identifiers for Paul J Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417908468NPI-NPPES
1130329OtherMHP
5126401OtherAMGP
220018740OtherRRM
5126401MedicaidNJ
0539253000OtherAMERIHEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MB048321 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centrastate Medical CenterFreehold, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathlink Of New Jersey044664124517

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. Paul J Simon allows following entities to bill medicare on his behalf.
Entity NameProfessional Service Fund Of Deborah Heart & Lung Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407803596
PECOS PAC ID: 4284537499
Enrollment ID: O20040127000717
Entity NameMario Gonzalez, Md
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942498985
PECOS PAC ID: 3779509641
Enrollment ID: O20051020000084
Entity NameHackensack Pathology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184856031
PECOS PAC ID: 2365589298
Enrollment ID: O20091027000288
Entity NamePathlink Of New Jersey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538821327
PECOS PAC ID: 0446641245
Enrollment ID: O20220106000038

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. Paul J 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
Paul J Simon, DO
Po Box 1247,
Toms River, NJ 08754-1247

Ph: (732) 349-3838		Paul J Simon, DO
99 Highway 37,
Toms River, NJ 08755-6423

Ph: (732) 557-8000

Reviews and Comments


Pathology Doctors in Toms River, NJ

Icynth M Baron Gabriel, M.D.
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Mohammad A Hafiz, M.D.
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Phone: 732-240-8000    
Bich N Pham, M.D.
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Practice Location: 99 Highway 37, Toms River, NJ 08755
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Amin Maghari, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1580 Lakewood Rd, Toms River, NJ 08755
Phone: 973-820-7734    
William Clark Lambert, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Water St, Toms River, NJ 08753
Phone: 732-244-4700    Fax: 732-244-8482
Ramesh Chandra Mahapatro, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 99 Highway 37, Toms River, NJ 08755
Phone: 732-557-8526    

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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