Byron H Simmons, MD - Medicare Pathology in Maplewood, MN

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Byron H Simmons, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Maplewood, Minnesota. He went to Js Weill Medical College, Cornell University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Fairview Express Care, Healtheast Medical Research Institute and his current practice location is 2945 Hazelwood St Ste 310, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 264-1500.

Byron H Simmons is licensed to practice in Minnesota (license number 48318) 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 1225060346.

Contact Information

Byron H Simmons, MD
2945 Hazelwood St Ste 310,
Maplewood, MN 55109-1241
(651) 264-1500
(651) 264-1646

Map and Direction




Physician's Profile

Full NameByron H Simmons
GenderMale
SpecialityPathology
Experience32 Years
Location2945 Hazelwood St Ste 310, Maplewood, Minnesota
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:
  • Byron H Simmons attended and graduated from Js Weill Medical College, Cornell University in 1992
  NPI Data:
  • NPI Number: 1225060346
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 10/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709800402
  • Enrollment ID: I20060120000622

Medical Identifiers

Medical identifiers for Byron H Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225060346NPI-NPPES
099565700MedicaidMN
386950400MedicaidMN
191813300MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 48318 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Healtheast St John's HospitalMaplewood, MNHospital
Healtheast Woodwinds HospitalWoodbury, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523
Healtheast Medical Research Institute3971407636500

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. Byron H Simmons allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameCentral Regional Pathology Laboratories
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827484
PECOS PAC ID: 1658356696
Enrollment ID: O20040623000289
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Byron H Simmons 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
Byron H Simmons, MD
2945 Hazelwood St Ste 310,
Maplewood, MN 55109-1241

Ph: (651) 264-1500		Byron H Simmons, MD
2945 Hazelwood St Ste 310,
Maplewood, MN 55109-1241

Ph: (651) 264-1500

Reviews and Comments


Pathology Doctors in Maplewood, MN

Kristi Lee Werdin, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2945 Hazelwood St Ste 310, Maplewood, MN 55109
Phone: 651-264-1500    Fax: 651-264-1646
Jaena Wisniewski, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2945 Hazelwood St Ste 310, Maplewood, MN 55109
Phone: 651-264-1500    

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.