Dr Richard Joseph Simmons, MD - Medicare Neurology in Halfmoon, NY

Dr Richard Joseph Simmons, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Halfmoon, New York. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Community Care Physicians Pllc and his current practice location is 1783 Route 9, Suite 101, Halfmoon, New York. You can reach out to his office (for appointments etc.) via phone at (518) 782-3810.

Dr Richard Joseph Simmons is licensed to practice in New York (license number 237138) 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 1912131525.

Contact Information

Dr Richard Joseph Simmons, MD
1783 Route 9, Suite 101,
Halfmoon, NY 12065-2409
(518) 782-3810
(518) 782-3838

Map and Direction




Physician's Profile

Full NameDr Richard Joseph Simmons
GenderMale
SpecialityNeurology
Experience21 Years
Location1783 Route 9, Halfmoon, New York
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 Richard Joseph Simmons graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1912131525
  • Provider Enumeration Date: 05/11/2009
  • Last Update Date: 08/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8022315498
  • Enrollment ID: I20160330000581

Medical Identifiers

Medical identifiers for Dr Richard Joseph Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912131525NPI-NPPES
03158770MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 237138 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Care Physicians Pllc8022904473363

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 Richard Joseph Simmons allows following entities to bill medicare on his behalf.
Entity NameCommunity Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922048370
PECOS PAC ID: 8022904473
Enrollment ID: O20080130000272

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 Richard Joseph Simmons 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 Richard Joseph Simmons, MD
711 Troy Schenectady Rd, Suite 203,
Latham, NY 12110-2442

Ph: (518) 782-3700
Dr Richard Joseph Simmons, MD
1783 Route 9, Suite 101,
Halfmoon, NY 12065-2409

Ph: (518) 782-3810

Reviews and Comments


Psychiatry & Neurology Doctors in Halfmoon, NY

Dr. Fabio Leonidas Urresta, MD, MS
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3 Newcastle Rd, Halfmoon, NY 12065
Phone: 518-724-5151    Fax: 518-207-9078
Karen Margaret Powers, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1783 Route 9 Ste 101, Halfmoon, NY 12065
Phone: 518-782-3810    Fax: 518-782-3838

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.