Micaela Aida Simon, FNP is a medicare enrolled "Family Medicine - Adult Medicine" in Tempe, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Be Well Family Care and her current practice location is
1492 S Mill Ave Ste 212, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 410-4128.
Micaela Aida Simon is licensed to practice in Arizona (license number AP10370) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235681370.
Provider's Profile
| Full Name | Micaela Aida Simon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1492 S Mill Ave Ste 212, Tempe, Arizona |
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| Accepts Medicare Assignments | Yes. She 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:
- Micaela Aida Simon graduated from nursing school in 2017
NPI Data:
- NPI Number: 1235681370
- Provider Enumeration Date: 10/25/2016
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769498443
- Enrollment ID: I20170919004135
Medical Identifiers
Medical identifiers for Micaela Aida Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235681370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN113725 (Arizona) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | AP10370 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Be Well Family Care | 2163844986 | 2 |
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. Micaela Aida Simon allows following entities to bill medicare on her behalf.
| Entity Name | Pueblo Family Physicians Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790798072
PECOS PAC ID: 2062497936
Enrollment ID: O20040623001193 |
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| Entity Name | Be Well Family Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225660111
PECOS PAC ID: 2163844986
Enrollment ID: O20200624002905 |
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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. Micaela Aida 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 |
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Micaela Aida Simon, FNP
7000 N 16th St Ste 120-228,
Phoenix, AZ 85020-5512
Ph: (480) 332-8446 | Micaela Aida Simon, FNP
1492 S Mill Ave Ste 212,
Tempe, AZ 85281-5664
Ph: (480) 410-4128 |
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