Dr Michael Simon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Livingston, New Jersey. His current practice location is
94 Old Short Hills Rd, Livingston, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 322-5000.
Dr Michael Simon is licensed to practice in New York (license number 294436) 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 1568993194.
Physician's Profile
Full Name | Dr Michael Simon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 94 Old Short Hills Rd, Livingston, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568993194
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 03/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486017068
- Enrollment ID: I20230830000313
Medical Identifiers
Medical identifiers for Dr Michael Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568993194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 25MA11757200 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 294436 (New York) | 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 Michael Simon allows following entities to bill medicare on his behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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Entity Name | Florida Radiology Imaging At Lake Mary Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414 |
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Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717 |
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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 Michael 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 Michael Simon, MD 355 N 4th Ave, Highland Park, NJ 08904-2725 Ph: () - | Dr Michael Simon, MD 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5000 |
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