Sage Simon, is a
Dietitian, Registered based in Lodi, Ohio. Sage Simon is licensed to practice in Ohio (license number ) and her current practice location is
225 Elyria St, Lodi, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 948-1222.
NPI number for Sage Simon is 1457074726 and her current mailing address is 1215 W 10th St Apt 832, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457074726.
Healthcare Provider's Profile
Full Name | Sage Simon |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 225 Elyria St, Lodi, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457074726
- Provider Enumeration Date: 09/22/2022
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Sage Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457074726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Ohio) | 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. Sage Simon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sage Simon, 1215 W 10th St Apt 832, Cleveland, OH 44113-1283 Ph: () - | Sage Simon, 225 Elyria St, Lodi, OH 44254-1031 Ph: (330) 948-1222 |
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