Micaela Aida Simon, FNP is a medicare enrolled "Family Medicine - Adult Medicine" in Tempe, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Be Well Family Care and her current practice location is
1492 S Mill Ave Ste 212, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 410-4128.
Micaela Aida Simon is licensed to practice in Arizona (license number AP10370) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235681370.
Provider's Profile
Full Name | Micaela Aida Simon |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 1492 S Mill Ave Ste 212, Tempe, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Micaela Aida Simon graduated from nursing school in 2017
NPI Data:
- NPI Number: 1235681370
- Provider Enumeration Date: 10/25/2016
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769498443
- Enrollment ID: I20170919004135
Medical Identifiers
Medical identifiers for Micaela Aida Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235681370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN113725 (Arizona) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | AP10370 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Be Well Family Care | 2163844986 | 5 |
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. Micaela Aida Simon allows following entities to bill medicare on her behalf.
Entity Name | Pueblo Family Physicians Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790798072 PECOS PAC ID: 2062497936 Enrollment ID: O20040623001193 |
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Entity Name | Be Well Family Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225660111 PECOS PAC ID: 2163844986 Enrollment ID: O20200624002905 |
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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. Micaela Aida Simon 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 |
Micaela Aida Simon, FNP 7000 N 16th St Ste 120-228, Phoenix, AZ 85020-5512 Ph: (480) 332-8446 | Micaela Aida Simon, FNP 1492 S Mill Ave Ste 212, Tempe, AZ 85281-5664 Ph: (480) 410-4128 |
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