Jorge Simental, MD - Medicare Emergency Medicine in Monroeville, PA

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Jorge Simental, MD is a medicare enrolled "Emergency Medicine" physician in Monroeville, Pennsylvania. His current practice location is 200 James Pl, Monroeville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (808) 639-9355.

Jorge Simental is licensed to practice in Hawaii (license number MD11580) 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 1568492379.

Contact Information

Jorge Simental, MD
200 James Pl,
Monroeville, PA 15146-3445
(808) 639-9355
Not Available

Map and Direction




Physician's Profile

Full NameJorge Simental
GenderMale
SpecialityEmergency Medicine
Location200 James Pl, Monroeville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568492379
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 10/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779561980
  • Enrollment ID: I20041215000184

Medical Identifiers

Medical identifiers for Jorge Simental such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568492379NPI-NPPES
55163106MedicaidHI
55163105MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD11580 (Hawaii)Primary

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. Jorge Simental allows following entities to bill medicare on his behalf.
Entity NameDhhs,phs,naihs Gallup Indian Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840
Entity NameMetlakatla Indian Community
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740294081
PECOS PAC ID: 5890691315
Enrollment ID: O20031208000361
Entity NameDhhs Phs Naihs Crownpoint Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393
Entity NameSan Carlos Apache Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091

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. Jorge Simental 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
Jorge Simental, MD
Po Box 1269,
Kapaa, HI 96746-7269

Ph: (406) 450-4428		Jorge Simental, MD
200 James Pl,
Monroeville, PA 15146-3445

Ph: (808) 639-9355

Reviews and Comments


Emergency Medicine Doctors in Monroeville, PA

Dr. David Natali, M.D.
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Practice Location: 2570 Haymaker Rd, Monroeville, PA 15146
Phone: 412-858-4541    
Kalpana Rajashekar,
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Caoxin Tang,
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Sean Thomas Cook,
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Practice Location: 421 College Park Dr, Monroeville, PA 15146
Phone: 412-689-1208    
Michelle Kathleen Peifly, M.D.
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Practice Location: 2570 Haymaker Rd, Monroeville, PA 15146
Phone: 412-858-2000    
Joel Rosenbloom, DO
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Medicare: Medicare Enrolled
Practice Location: 2570 Haymaker Rd, Monroeville, PA 15146
Phone: 330-493-4443    Fax: 330-493-8677
Elizabeth Moy, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2570 Haymaker Rd, Monroeville, PA 15146
Phone: 330-493-4443    

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).

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