Ms Mary Theresa Simon, PMHNP in Moosic, PA - Medicare Nurse Practitioner

Ms Mary Theresa Simon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moosic, Pennsylvania. Her current practice location is 340 Montage Mountain Rd, Moosic, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 346-3686.

Ms Mary Theresa Simon is licensed to practice in Pennsylvania (license number SP016910) 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 1487793238.

Contact Information

	Ms Mary Theresa Simon, PMHNP
	340 Montage Mountain Rd, Moosic, PA 18507-1782
	(570) 346-3686
	(570) 558-6838

Map and Direction

Provider's Profile

Full Name	Ms Mary Theresa Simon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	340 Montage Mountain Rd, Moosic, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487793238
Provider Enumeration Date: 02/06/2007
Last Update Date: 02/27/2017

Medicare PECOS Information:

PECOS PAC ID: 0547547416
Enrollment ID: I20200211002290

Medical Identifiers

Medical identifiers for Ms Mary Theresa Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487793238	NPI	-	NPPES
2015023708	Other		PMHNP
SP016910	Other	PA	PENNSYLVANIA CERTIFIED REGISTERED NURSE PRACTITIONER-PSYCHIATRIC MENTAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP016910 (Pennsylvania)	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. Ms Mary Theresa Simon allows following entities to bill medicare on her behalf.

Entity Name	Forefront-khatkhate Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164076683 PECOS PAC ID: 4082944335 Enrollment ID: O20190930000792

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. Ms Mary Theresa 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
Ms Mary Theresa Simon, PMHNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686	Ms Mary Theresa Simon, PMHNP 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686

Reviews and Comments

Nurse Practitioner Nurses in Moosic, PA

Marie T Zedalis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Tomislav Kucuk, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Glenmaura National Boulevard, Moosic, PA 18507 Phone: 570-808-7300
Amanda Leigh Craven, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686
Jessica M Sabato, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Lula Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Mrs. Teresa M Clark, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838
Amber Michele Parker, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686

Ms Mary Theresa Simon, PMHNP - Medicare Nurse Practitioner in Moosic, PA