Dr Helen Simigiannis, MD - Medicare Obstetrics/gynecology in East Windsor, NJ

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Dr Helen Simigiannis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in East Windsor, New Jersey. She graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Summit Medical Group Pa and her current practice location is 375 Route 130, Suite 103, East Windsor, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 448-7800.

Dr Helen Simigiannis is licensed to practice in New Jersey (license number 25MA07688900) 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 1366497265.

Contact Information

Dr Helen Simigiannis, MD
375 Route 130, Suite 103,
East Windsor, NJ 08520-2700
(609) 448-7800
(609) 448-7880

Map and Direction




Physician's Profile

Full NameDr Helen Simigiannis
GenderFemale
SpecialityObstetrics/gynecology
Experience26 Years
Location375 Route 130, East Windsor, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Helen Simigiannis graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1366497265
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446255707
  • Enrollment ID: I20060921000078

Medical Identifiers

Medical identifiers for Dr Helen Simigiannis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366497265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology MA07688900 (New Jersey)Secondary
207V00000XObstetrics & Gynecology 25MA07688900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centrastate Medical CenterFreehold, NJHospital
University Medical Center Of Princeton At PlainsboroPlainsboro, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761147

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. Dr Helen Simigiannis allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Dr Helen Simigiannis 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
Dr Helen Simigiannis, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Dr Helen Simigiannis, MD
375 Route 130, Suite 103,
East Windsor, NJ 08520-2700

Ph: (609) 448-7800

Reviews and Comments


Obstetrics & Gynecology Doctors in East Windsor, NJ

Charlsie Khalisha Celestine, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 319 Us Highway 130 Ste 29d, East Windsor, NJ 08520
Phone: 609-607-6600    Fax: 609-371-0346
Debbra Ames Keegan, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 300b Princeton Hightstown Rd, Suite 204, East Windsor, NJ 08520
Phone: 609-448-4300    

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).

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