Dr Luigi Simone, MD - Medicare Family Practice in Encinitas, CA

Dr Luigi Simone, MD is a medicare enrolled "Family Medicine" physician in Encinitas, California. He went to University Of California, San Diego School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Scripps Health and his current practice location is 326 Santa Fe Dr, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (760) 753-5594.

Dr Luigi Simone is licensed to practice in California (license number G75607) 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 1407951338.

Contact Information

Dr Luigi Simone, MD
326 Santa Fe Dr,
Encinitas, CA 92024-5156
(760) 753-5594
Not Available

Map and Direction




Physician's Profile

Full NameDr Luigi Simone
GenderMale
SpecialityFamily Practice
Experience33 Years
Location326 Santa Fe Dr, Encinitas, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Luigi Simone attended and graduated from University Of California, San Diego School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1407951338
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355412586
  • Enrollment ID: I20080616000813

Medical Identifiers

Medical identifiers for Dr Luigi Simone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407951338NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G75607 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scripps Memorial Hospital - EncinitasEncinitas, CAHospital
Scripps Green HospitalLa jolla, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scripps Health92340338531365

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. Dr Luigi Simone allows following entities to bill medicare on his behalf.
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822

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. Dr Luigi Simone 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 AddressPractice Location Address
Dr Luigi Simone, MD
10790 Rancho Bernardo Rd,
San Diego, CA 92127-5705

Ph: (760) 753-5594
Dr Luigi Simone, MD
326 Santa Fe Dr,
Encinitas, CA 92024-5156

Ph: (760) 753-5594

Reviews and Comments


Family Medicine Doctors in Encinitas, CA

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Dr. Michael L. Vanbuskirk, M.D.
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Phone: 760-633-7240    Fax: 760-633-6921
Diane Vu, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 477 N El Camino Real, Suite A208, Encinitas, CA 92024
Phone: 760-479-3900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.