Carol C Simmons, FNP is a medicare enrolled "Nurse Practitioner - Family" in Soperton, Georgia. Her current practice location is
452 Second St, Soperton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 529-5533.
Carol C Simmons is licensed to practice in Georgia (license number RN069115 NP) 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 1750397527.
Provider's Profile
| Full Name | Carol C Simmons |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 452 Second St, Soperton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750397527
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 02/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 2769419357
- Enrollment ID: I20050726000355
Medical Identifiers
Medical identifiers for Carol C Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750397527 | NPI | - | NPPES |
| 111889 | Other | GA | UGS-SOPERTON |
| 111887 | Other | GA | UGS-REIDSVILLE |
| 111830 | Other | GA | UGS-SWAINSBORO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN069115 NP (Georgia) | 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. Carol C Simmons allows following entities to bill medicare on her behalf.
| Entity Name | East Georgia Healthcare Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831144971
PECOS PAC ID: 0547228686
Enrollment ID: O20050722000569 |
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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. Carol C Simmons 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 |
|---|
Carol C Simmons, FNP
215 N Coleman St,
Swainsboro, GA 30401-3530
Ph: (478) 237-2638 | Carol C Simmons, FNP
452 Second St,
Soperton, GA 30457-3004
Ph: (912) 529-5533 |
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