Brent Simon, PA is a
Physician Assistant based in Pinconning, Michigan. Brent Simon is licensed to practice in Michigan (license number 5601006442) and his current practice location is
204 W 3rd St, Pinconning, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 879-3771.
NPI number for Brent Simon is 1326397993 and his current mailing address is 1003 Woodside Ave, Essexville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326397993.
Provider's Profile
| Full Name | Brent Simon |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 204 W 3rd St, Pinconning, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326397993
- Provider Enumeration Date: 08/29/2012
- Last Update Date: 02/12/2013
Medical Identifiers
Medical identifiers for Brent Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326397993 | NPI | - | NPPES |
| MI1566 | Other | MI | PTAN GROUP |
| 1326397993 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5601006442 (Michigan) | Primary |
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. Brent Simon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brent Simon, PA
1003 Woodside Ave,
Essexville, MI 48732-1234
Ph: (989) 892-7722 | Brent Simon, PA
204 W 3rd St,
Pinconning, MI 48650-9622
Ph: (989) 879-3771 |
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