Dr Philip Michael Simone, MD - Medicare Family Practice in Matawan, NJ

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Dr Philip Michael Simone, MD is a medicare enrolled "Family Medicine" physician in Matawan, New Jersey. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. His current practice location is 746 Highway 34, Suite 2, Matawan, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 290-8300.

Dr Philip Michael Simone is licensed to practice in New Jersey (license number MA70752) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952372468.

Contact Information

Dr Philip Michael Simone, MD
746 Highway 34, Suite 2,
Matawan, NJ 07747
(732) 290-8300
(732) 290-8301

Map and Direction




Physician's Profile

Full NameDr Philip Michael Simone
GenderMale
SpecialityFamily Practice
Experience27 Years
Location746 Highway 34, Matawan, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Philip Michael Simone attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1997
  NPI Data:
  • NPI Number: 1952372468
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 08/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5597864009
  • Enrollment ID: I20070625000484

Medical Identifiers

Medical identifiers for Dr Philip Michael Simone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952372468NPI-NPPES
000009194474OtherPHCS
3K6306OtherHEALTHNET ADVANTAGE PLATINUM
5528995OtherFIRST HEALTH
K9946OtherHORIZON BLUE CROSS/BLUE SHIELD
57362OtherQUALCARE
3K6303-975476OtherHEALTHNET ADVANTAGE PLATINUM PPO
8734731P03OtherCIGNA OPEN ACCESS PLUS
00002095299 09OtherUNITED HEALTHCARE
434935OtherAETNA HMO
7370258OtherAETNA
8734731013OtherCIGNA HMO/POS
P2547228OtherOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MA70752 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayshore Medical CenterHolmdel, NJHospital

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 Philip Michael Simone allows following entities to bill medicare on his behalf.
Entity NameSimone Family Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912109687
PECOS PAC ID: 0143329359
Enrollment ID: O20070628000050

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 Philip Michael Simone 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 Philip Michael Simone, MD
746 Highway 34, Suite 2,
Matawan, NJ 07747

Ph: (732) 290-8300		Dr Philip Michael Simone, MD
746 Highway 34, Suite 2,
Matawan, NJ 07747

Ph: (732) 290-8300

Reviews and Comments


Family Medicine Doctors in Matawan, NJ

Vincent P Tran, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1070 Hwy 34, Suite C, Matawan, NJ 07747
Phone: 732-290-0300    Fax: 732-290-1267
Dr. Kristine Krever, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1032 State Route 34, Matawan, NJ 07747
Phone: 732-275-8228    Fax: 732-275-8226

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.