Ms Stacey Elizabeth Simon, RD - Medicare Dietitian in Chappaqua, NY

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Ms Stacey Elizabeth Simon, RD is a medicare enrolled "Dietitian, Registered" provider in Chappaqua, New York. Her current practice location is 480 Bedford Rd Ste 3201, Chappaqua, New York. You can reach out to her office (for appointments etc.) via phone at (603) 264-7382.

Ms Stacey Elizabeth Simon is licensed to practice in New York (license number 86007711) 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 1811319098.

Contact Information

Ms Stacey Elizabeth Simon, RD
480 Bedford Rd Ste 3201,
Chappaqua, NY 10514-1726
(603) 264-7382
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Stacey Elizabeth Simon
GenderFemale
SpecialityDietitian, Registered
Location480 Bedford Rd Ste 3201, Chappaqua, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811319098
  • Provider Enumeration Date: 01/08/2014
  • Last Update Date: 03/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5698145233
  • Enrollment ID: I20221223000653

Medical Identifiers

Medical identifiers for Ms Stacey Elizabeth Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811319098NPI-NPPES
86007711OtherREGISTERED DIETITIAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1101XDietitian, Registered - Nutrition, Gerontological 86007711 (New York)Secondary
133V00000XDietitian, Registered 86007711 (New York)Primary

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. Ms Stacey Elizabeth Simon allows following entities to bill medicare on her behalf.
Provider NameOpenloop Healthcare Partners Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245820661
PECOS PAC ID: 2668871898
Enrollment ID: O20220209002166
Provider NameMend Physician Services Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417630401
PECOS PAC ID: 6204285182
Enrollment ID: O20240319002239

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. Ms Stacey Elizabeth 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 AddressPractice Location Address
Ms Stacey Elizabeth Simon, RD
98 Deerfield Ln N,
Pleasantville, NY 10570-1406

Ph: (603) 264-7382		Ms Stacey Elizabeth Simon, RD
480 Bedford Rd Ste 3201,
Chappaqua, NY 10514-1726

Ph: (603) 264-7382

Reviews and Comments


Dietitian, Registered in Chappaqua, NY

Katrina Stechler, RD CDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 480 Bedford Rd, Chappaqua, NY 10514
Phone: 866-693-4308    
Ms. Kathy Sue Feld-berkowitz, RD, CDE
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 14 Buttonhook Rd, Chappaqua, NY 10514
Phone: 914-242-1842    Fax: 914-864-2489
Stacey Cheryl Edenbaum, MS.,RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 86 Farm Lake Crescent Rd, Chappaqua, NY 10514
Phone: 512-693-7045    
Iris Weissman, MS RD CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 67 Pond View Lane, Chappaqua, NY 10514
Phone: 914-238-5804    Fax: 815-377-6041
Stacey Simon Nutrition Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 480 Bedford Rd Ste 3201, Chappaqua, NY 10514
Phone: 603-264-7382    

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.