Kathleen Ann Simon, CDCA is a
Case Manager/care Coordinator based in Lisbon, Ohio. Kathleen Ann Simon is licensed to practice in Ohio (license number 172735) and her current practice location is
964 N Market St, Lisbon, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 424-1468.
NPI number for Kathleen Ann Simon is 1780216002 and her current mailing address is Po Box 294, Salem, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780216002.
Provider's Profile
| Full Name | Kathleen Ann Simon |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 964 N Market St, Lisbon, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780216002
- Provider Enumeration Date: 02/05/2020
- Last Update Date: 02/05/2020
Medical Identifiers
Medical identifiers for Kathleen Ann Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780216002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 104984 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 172735 (Ohio) | 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. Kathleen Ann 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 |
|---|
Kathleen Ann Simon, CDCA
Po Box 294,
Salem, OH 44460-0294
Ph: (234) 567-3079 | Kathleen Ann Simon, CDCA
964 N Market St,
Lisbon, OH 44432-9363
Ph: (330) 424-1468 |
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