Thomas Bullock Simon, DPM is a medicare enrolled "Podiatrist" provider in Holladay, Utah. He went to Kent State University College Of Podiatric Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Taylor G Wright Pc and his current practice location is
6405 S 3000 E Ste 300, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 266-3113.
Thomas Bullock Simon is licensed to practice in Utah (license number 12286299-0501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356832398.
Healthcare Provider's Profile
| Full Name | Thomas Bullock Simon |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 6 Years |
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| Location | 6405 S 3000 E Ste 300, Holladay, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas Bullock Simon attended and graduated from Kent State University College Of Podiatric Medicine in 2018
NPI Data:
- NPI Number: 1356832398
- Provider Enumeration Date: 05/25/2018
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274936299
- Enrollment ID: I20210728000632
Medical Identifiers
Medical identifiers for Thomas Bullock Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356832398 | NPI | - | NPPES |
| 4071953 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | T17-2018 (Texas) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 12286299-0501 (Utah) | Secondary |
| 213E00000X | Podiatrist | 12286299-0501 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Taylor G Wright Pc | 8426362450 | 40 |
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. Thomas Bullock Simon allows following entities to bill medicare on his behalf.
| Provider Name | Taylor G Wright Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235526682
PECOS PAC ID: 8426362450
Enrollment ID: O20150804003913 |
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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. Thomas Bullock 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 |
|---|
Thomas Bullock Simon, DPM
6405 S 3000 E Ste 300,
Holladay, UT 84121-6977
Ph: (801) 266-3113 | Thomas Bullock Simon, DPM
6405 S 3000 E Ste 300,
Holladay, UT 84121-6977
Ph: (801) 266-3113 |
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