Dr Kerry Mark Simon, MD in Berlin, WI - Medicare Family Medicine

Dr Kerry Mark Simon, MD is a medicare enrolled "Family Medicine" physician in Berlin, Wisconsin. His current practice location is 225 Memorial Dr Ste 1200, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 361-5770.

Dr Kerry Mark Simon is licensed to practice in Wisconsin (license number 33205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205823762.

Contact Information

	Dr Kerry Mark Simon, MD
	225 Memorial Dr Ste 1200, Berlin, WI 54923-1243
	(920) 361-5770
	(920) 361-5779

Map and Direction

Physician's Profile

Full Name	Dr Kerry Mark Simon
Gender	Male
Speciality	Family Medicine
Location	225 Memorial Dr Ste 1200, Berlin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205823762
Provider Enumeration Date: 09/30/2005
Last Update Date: 12/31/2018

Medicare PECOS Information:

PECOS PAC ID: 4688733819
Enrollment ID: I20191010001470

Medical Identifiers

Medical identifiers for Dr Kerry Mark Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205823762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4310075257 (Michigan)	Secondary
207Q00000X	Family Medicine	33205 (Wisconsin)	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. Dr Kerry Mark Simon allows following entities to bill medicare on his behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Kerry Mark 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 Address	Practice Location Address
Dr Kerry Mark Simon, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Dr Kerry Mark Simon, MD 225 Memorial Dr Ste 1200, Berlin, WI 54923-1243 Ph: (920) 361-5770

Reviews and Comments

Family Medicine Doctors in Berlin, WI

Dr. James S Heinzen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5525 Fax: 920-361-5925
John W Silkey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5525 Fax: 920-361-5925
Dr. Maria Grace Cruz-apolinario, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5525 Fax: 920-361-5925
David Budde, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W832 Hwy 91, Berlin, WI 54923 Phone: 920-361-6400 Fax: 920-361-6407
Anthony J. Racki, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr Ste 1400, Berlin, WI 54923 Phone: 920-361-5760 Fax: 920-361-5766
Kirsten Elizabeth Grove, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313

Dr Kerry Mark Simon, MD - Medicare Family Medicine in Berlin, WI