Dr Melissa Ann Simon, MD - Medicare Ophthalmology in Providence, RI

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Dr Melissa Ann Simon, MD is a medicare enrolled "Ophthalmology" physician in Providence, Rhode Island. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2009 and has 15 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Lifespan Physician Group Inc and her current practice location is 1 Hoppin St Ste 202, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-6551.

Dr Melissa Ann Simon is licensed to practice in Rhode Island (license number 14710) 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 1316265259.

Contact Information

Dr Melissa Ann Simon, MD
1 Hoppin St Ste 202,
Providence, RI 02903-4141
(401) 444-6551
Not Available

Map and Direction




Physician's Profile

Full NameDr Melissa Ann Simon
GenderFemale
SpecialityOphthalmology
Experience15 Years
Location1 Hoppin St Ste 202, Providence, Rhode Island
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 Melissa Ann Simon attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2009
  NPI Data:
  • NPI Number: 1316265259
  • Provider Enumeration Date: 05/16/2010
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345488995
  • Enrollment ID: I20141024000248

Medical Identifiers

Medical identifiers for Dr Melissa Ann Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316265259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 161664 (Oregon)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207W00000XOphthalmology 14710 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631

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 Melissa Ann Simon allows following entities to bill medicare on her behalf.
Entity NamePediatric Ophthalmology & Strabismus Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578678777
PECOS PAC ID: 5092739441
Enrollment ID: O20070402000283
Entity NameThe Ent Center Of Rhode Island Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1295906956
PECOS PAC ID: 6002974581
Enrollment ID: O20081028000419
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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 Melissa Ann 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 AddressPractice Location Address
Dr Melissa Ann Simon, MD
2 Dudley St Ste 505,
Providence, RI 02905-3249

Ph: (401) 444-7008		Dr Melissa Ann Simon, MD
1 Hoppin St Ste 202,
Providence, RI 02903-4141

Ph: (401) 444-6551

Reviews and Comments


Ophthalmology Doctors in Providence, RI

Marjorie A. Murphy, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: One Hoppin Street, Suite 202, Providence, RI 02903
Phone: 401-831-4592    Fax: 401-831-4643
Michael E Migliori, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hoppin St, Suite 202, Providence, RI 02903
Phone: 401-444-6551    Fax: 401-444-6587
Dr. Noelle Layer Pruzan, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 623 Atwells Ave, Providence, RI 02909
Phone: 401-273-7100    
Dr. Harold Arthur Woodcome Jr., MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 101 Plain St Ste 101, Providence, RI 02903
Phone: 401-274-5844    Fax: 401-274-9462
Joseph Francis Ducharme, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 78 Baker Street, Providence, RI 02905
Phone: 401-831-4592    Fax: 401-831-4643
John P Donahue, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 150 E Manning St, Providence, RI 02906
Phone: 401-272-2020    Fax: 401-421-5979
King Wai To, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: One Hoppin Street, Suite 202, Providence, RI 02903
Phone: 401-831-4592    Fax: 401-831-4643

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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