Dr Peter John Simon, MD in San Rafael, CA

Dr Peter John Simon, MD is a medicare enrolled "Pediatrics" physician in San Rafael, California. His current practice location is 3110 Kerner Blvd, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 448-1500.

Dr Peter John Simon is licensed to practice in California (license number A120382) 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 1114244175.

Contact Information

	Dr Peter John Simon, MD
	3110 Kerner Blvd, San Rafael, CA 94901-5411
	(415) 448-1500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Peter John Simon
Gender	Male
Speciality	Pediatrics
Location	3110 Kerner Blvd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114244175
Provider Enumeration Date: 04/29/2010
Last Update Date: 04/22/2026

Medicare PECOS Information:

PECOS PAC ID: 5890096119
Enrollment ID: I20151210001525

Medical Identifiers

Medical identifiers for Dr Peter John Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114244175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A120382 (California)	Primary

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 Peter John 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 Peter John Simon, MD 3110 Kerner Blvd, San Rafael, CA 94901-5411 Ph: (415) 448-1500	Dr Peter John Simon, MD 3110 Kerner Blvd, San Rafael, CA 94901-5411 Ph: (415) 448-1500

Reviews and Comments

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Shelley A Palfy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Civic Center Dr, #205, San Rafael, CA 94903 Phone: 415-479-7244 Fax: 415-479-0917
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Andrea H. Feeback-lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Dr. Fernando Ulloa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 113, San Rafael, CA 94901 Phone: 415-454-4100
Ann Troy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Northgate Dr, Suite #9, San Rafael, CA 94903 Phone: 415-479-9797 Fax: 415-479-9712

Dr Peter John Simon, MD - Medicare Pediatrics in San Rafael, CA