Mark John Simonson, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Soldotna, Alaska. His current practice location is
240 Hospital Pl Ste 204b, Soldotna, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 714-4120.
Mark John Simonson is licensed to practice in Alaska (license number MEDS8005) 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 1194827998.
Physician's Profile
| Full Name | Mark John Simonson |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 240 Hospital Pl Ste 204b, Soldotna, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194827998
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466351077
- Enrollment ID: I20140509000272
Medical Identifiers
Medical identifiers for Mark John Simonson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194827998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 4424 (South Dakota) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 6326A (Wyoming) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | C51604 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MEDS8005 (Alaska) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 6326A (Wyoming) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4424 (South Dakota) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | C51604 (California) | Secondary |
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. Mark John Simonson allows following entities to bill medicare on his behalf.
| Entity Name | Central Peninsula General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528062429
PECOS PAC ID: 4587552575
Enrollment ID: O20040310000598 |
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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. Mark John Simonson 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 |
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Mark John Simonson, MD
Po Box 2509,
Soldotna, AK 99669-2509
Ph: (907) 260-5455 | Mark John Simonson, MD
240 Hospital Pl Ste 204b,
Soldotna, AK 99669-7559
Ph: (907) 714-4120 |
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