Courtney Simon, is a medicare enrolled "Optometrist" provider in Stilwell, Oklahoma. Her current practice location is
471688 Ok-51, Stilwell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 696-8800.
Courtney Simon is licensed to practice in Oklahoma (license number 3197) 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 1114663085.
Healthcare Provider's Profile
| Full Name | Courtney Simon |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 471688 Ok-51, Stilwell, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114663085
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193108975
- Enrollment ID: I20220811000254
Medical Identifiers
Medical identifiers for Courtney Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114663085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3197 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Courtney Simon allows following entities to bill medicare on her behalf.
| Provider Name | Northeastern State University College Of Optometry |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437106333
PECOS PAC ID: 0941112528
Enrollment ID: O20031103000296 |
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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. Courtney 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 |
|---|
Courtney Simon,
400 Greenwood Dr,
Tahlequah, OK 74464-4815
Ph: (918) 931-9506 | Courtney Simon,
471688 Ok-51,
Stilwell, OK 74960
Ph: (918) 696-8800 |
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