| Dr David Charles Simon, MD | |
|
3155 Channing Way Ste B, Idaho Falls, ID 83404-7875 | |
| (208) 535-4420 | |
| (208) 524-1045 |
| Full Name | Dr David Charles Simon |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 34 Years |
| Location | 3155 Channing Way Ste B, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518908581 | NPI | - | NPPES |
| 20504 | Other | ID | BLUE SHIELD |
| DI197 | Other | ID | BLUE CROSS |
| 003919400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 55495 (Tennessee) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | M-6825 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heritage Home Health | Pocatello, ID | Home health agency |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifepoint Rehab Physician Services Llc | 3678932043 | 3 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Entity Name | Lifepoint Rehab Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598492522 PECOS PAC ID: 3678932043 Enrollment ID: O20230703000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Charles Simon, MD 3155 Channing Way Ste B, Idaho Falls, ID 83404-7875 Ph: (208) 535-4420 | Dr David Charles Simon, MD 3155 Channing Way Ste B, Idaho Falls, ID 83404-7875 Ph: (208) 535-4420 |
Dr. Andrew D Cooper, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2635 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Abby Lucile Jensen, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Troy Jay Bushman, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 | |
Curtis Leslie Jacobson, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3784 Summit Run Trl, Idaho Falls, ID 83404 Phone: 208-731-9896 | |
Dr. Sarah Vlach, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2860 Channing Way, Suite 112, Idaho Falls, ID 83404 Phone: 208-535-4343 Fax: 208-535-4344 | |
Tyler Hedin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 306, Idaho Falls, ID 83404 Phone: 208-535-4400 Fax: 208-535-4404 |