Dr Simon St John Prendiville, MD in Charlotte, NC

Dr Simon St John Prendiville, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Charlotte, North Carolina. He went to Georgetown University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Charlotte Gastroenterology And Hepatology Pllc and his current practice location is 2015 Randolph Road, Suite 208, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 377-4009.

Dr Simon St John Prendiville is licensed to practice in North Carolina (license number 200300278) 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 1023076353.

Contact Information

	Dr Simon St John Prendiville, MD
	2015 Randolph Road, Suite 208, Charlotte, NC 28207-1200
	(704) 377-4009
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Simon St John Prendiville
Gender	Male
Speciality	Gastroenterology
Experience	27 Years
Location	2015 Randolph Road, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. 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 Simon St John Prendiville attended and graduated from Georgetown University School Of Medicine in 1997

NPI Data:

NPI Number: 1023076353
Provider Enumeration Date: 05/03/2006
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 7517906282
Enrollment ID: I20050502001053

Medical Identifiers

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

Identifier	Type	State	Issuer
1023076353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	200300278 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Huntersville Medical Center	Huntersville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charlotte Gastroenterology And Hepatology Pllc	3870489412	68

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 Simon St John Prendiville allows following entities to bill medicare on his behalf.

Entity Name	Charlotte Gastroenterology & Hepatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730100801 PECOS PAC ID: 3870489412 Enrollment ID: O20040223000424

Entity Name	Charlotte Gastroenterology & Hepatology Pllc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1851548655 PECOS PAC ID: 3870489412 Enrollment ID: O20070922000030

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 Simon St John Prendiville 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 Simon St John Prendiville, MD 13808 Professional Center Dr, Huntersville, NC 28078-7948 Ph: (704) 377-4009	Dr Simon St John Prendiville, MD 2015 Randolph Road, Suite 208, Charlotte, NC 28207-1200 Ph: (704) 377-4009

Reviews and Comments

Internal Medicine Doctors in Charlotte, NC

Dr. Anish Kaushik Vani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011
John Michael Fedor, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Dr. Michael Warren Smith, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210 Phone: 704-554-8787 Fax: 704-554-8774
William Lane Jr., MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-4490
Dr. Alagusivakumari Rameshbabu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8050
Shibin Thomas Jacob, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262 Phone: 704-863-5847
Oscar Sven Brann, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 Phone: 704-489-3094

Dr Simon St John Prendiville, MD - Medicare Gastroenterology in Charlotte, NC