Dr Susan C Simon, MD - Medicare Internal Medicine in Westfield, NJ

Dr Susan C Simon, MD is a medicare enrolled "Internal Medicine" physician in Westfield, New Jersey. She went to Boston University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Summit Medical Group Pa and her current practice location is 560 Springfield Ave, Westfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 228-3610.

Dr Susan C Simon is licensed to practice in New Jersey (license number 25MA07075100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093704777.

Contact Information

Dr Susan C Simon, MD
560 Springfield Ave,
Westfield, NJ 07090-1024
(908) 228-3610
(908) 228-3617

Map and Direction




Physician's Profile

Full NameDr Susan C Simon
GenderFemale
SpecialityInternal Medicine
Experience28 Years
Location560 Springfield Ave, Westfield, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Susan C Simon attended and graduated from Boston University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1093704777
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 07/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204021827
  • Enrollment ID: I20101109000896

Medical Identifiers

Medical identifiers for Dr Susan C Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093704777NPI-NPPES
8325707MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA07075100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jfk Medical CenterEdison, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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 Susan C Simon allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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 Susan C 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 AddressPractice Location Address
Dr Susan C Simon, MD
150 Floral Ave,
New Providence, NJ 07974-1557

Ph: (908) 273-4300
Dr Susan C Simon, MD
560 Springfield Ave,
Westfield, NJ 07090-1024

Ph: (908) 228-3610

Reviews and Comments


Internal Medicine Doctors in Westfield, NJ

Joyce R Talavera, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 202 Elmer St, Westfield, NJ 07090
Phone: 908-228-3675    Fax: 908-654-1053
Dr. Martin James Sheehy Iii, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 441 Lenox Ave, Westfield, NJ 07090
Phone: 908-232-5461    
Mr. Peter John Weigel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 324 South Ave E, Westfield, NJ 07090
Phone: 908-233-1444    Fax: 908-654-0226
Dr. Harris S Vernick, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 255 Munsee Way, Westfield, NJ 07090
Phone: 908-654-5498    Fax: 908-654-0585
Dr. Helen Bateman, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 577 Westfield Ave, Westfield, NJ 07090
Phone: 908-233-9111    Fax: 908-233-9920
Joseph Derosa, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 505 E Broad St, Westfield, NJ 07090
Phone: 908-232-0899    Fax: 908-232-1728

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.