Mrs Delisa Simon, RN, BSN, MSN, NP-C in Livermore, CA

Mrs Delisa Simon, RN, BSN, MSN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Livermore, California. Her current practice location is 87 Fenton St Ste 210, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (925) 371-8885.

Mrs Delisa Simon is licensed to practice in California (license number 95004200) 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 1851800056.

Contact Information

	Mrs Delisa Simon, RN, BSN, MSN, NP-C
	87 Fenton St Ste 210, Livermore, CA 94550-4159
	(925) 371-8885
	(925) 371-8884

Map and Direction

Provider's Profile

Full Name	Mrs Delisa Simon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	87 Fenton St Ste 210, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851800056
Provider Enumeration Date: 09/20/2017
Last Update Date: 07/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4981141827
Enrollment ID: I20240808003845

Medical Identifiers

Medical identifiers for Mrs Delisa Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851800056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004200 (California)	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 Delisa Simon allows following entities to bill medicare on her behalf.

Entity Name	Tri-valley Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801047931 PECOS PAC ID: 5597826164 Enrollment ID: O20081202000353

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 Delisa 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
Mrs Delisa Simon, RN, BSN, MSN, NP-C 87 Fenton St Ste 210, Livermore, CA 94550-4159 Ph: (925) 371-8885	Mrs Delisa Simon, RN, BSN, MSN, NP-C 87 Fenton St Ste 210, Livermore, CA 94550-4159 Ph: (925) 371-8885

Reviews and Comments

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Mrs Delisa Simon, RN, BSN, MSN, NP-C - Medicare Nurse Practitioner in Livermore, CA