Mrs Mia Rose Simoncelli, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Brocton, New York. Her current practice location is
Po Box T, Brocton, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 792-7100.
Mrs Mia Rose Simoncelli is licensed to practice in New York (license number F342490-1) 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 1689173171.
Provider's Profile
Full Name | Mrs Mia Rose Simoncelli |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | Po Box T, Brocton, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689173171
- Provider Enumeration Date: 02/09/2018
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496001422
- Enrollment ID: I20180705002770
Medical Identifiers
Medical identifiers for Mrs Mia Rose Simoncelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689173171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F342490-1 (New York) | 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. Mrs Mia Rose Simoncelli allows following entities to bill medicare on her behalf.
Entity Name | Ob/gyn Associates Of Wny |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1639239221 PECOS PAC ID: 4587754874 Enrollment ID: O20071227000189 |
---|
Entity Name | General Physician Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
---|
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. Mrs Mia Rose Simoncelli 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 |
Mrs Mia Rose Simoncelli, FNP-BC Po Box T, Brocton, NY 14716-0679 Ph: (716) 792-7100 | Mrs Mia Rose Simoncelli, FNP-BC Po Box T, Brocton, NY 14716-0679 Ph: (716) 792-7100 |
Reviews and Comments