Thomas Bullock Simon, DPM is a medicare enrolled "Podiatrist" provider in Holladay, Utah. 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 | |
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Experience | 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. |
Medical Education and Training:
- Thomas Bullock Simon attended and graduated from in
NPI Data:
- NPI Number: 1356832398
- Provider Enumeration Date: 05/25/2018
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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