Andrea Gayle Simons, FNP in Logan, UT - Medicare Nurse Practitioner

Andrea Gayle Simons, FNP is a medicare enrolled "Nurse Practitioner - Family" in Logan, Utah. Her current practice location is 630 E 1400 N Ste 150, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 915-4465.

Andrea Gayle Simons is licensed to practice in Utah (license number 5680277-4405) 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 1609655927.

Contact Information

	Andrea Gayle Simons, FNP
	630 E 1400 N Ste 150, Logan, UT 84341-2549
	(435) 915-4465
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Gayle Simons
Gender	Female
Speciality	Nurse Practitioner - Family
Location	630 E 1400 N Ste 150, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609655927
Provider Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8527418821
Enrollment ID: I20231228003678

Medical Identifiers

Medical identifiers for Andrea Gayle Simons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609655927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5680277-4405 (Utah)	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. Andrea Gayle Simons allows following entities to bill medicare on her behalf.

Entity Name	Wholelife Family Wellness Clinic Of Providence Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049

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. Andrea Gayle 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
Andrea Gayle Simons, FNP 463 S Center St, Hyrum, UT 84319-1606 Ph: (435) 764-5289	Andrea Gayle Simons, FNP 630 E 1400 N Ste 150, Logan, UT 84341-2549 Ph: (435) 915-4465

Reviews and Comments

Nurse Practitioner Nurses in Logan, UT

Sarah Hope Horton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-213-3970
Lisa Shea Roberts, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 E 100 N, Suite 303, Logan, UT 84321 Phone: 435-760-7078
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 E 1400 N Ste T, Logan, UT 84341 Phone: 435-716-1320
Todd Hamblin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1130 Fax: 435-719-1131
Mr. Kyle J Higginson, AG-ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 939 Us-89 #1, Logan, UT 84321 Phone: 801-669-3534
Mr. Tod Michael Morrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 150, Logan, UT 84341 Phone: 435-915-4465 Fax: 435-799-3664
Emily Fonua, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste I, Logan, UT 84341 Phone: 435-753-1545 Fax: 435-753-3153

Andrea Gayle Simons, FNP - Medicare Nurse Practitioner in Logan, UT