| Mark O Simon, MD | |
|
1650 Cowles St, Fairbanks, AK 99701-5925 | |
| (907) 458-5556 | |
| Not Available |
| Full Name | Mark O Simon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 1650 Cowles St, Fairbanks, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043207533 | NPI | - | NPPES |
| MD2451 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4813 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Norton Sound Regional Hospital | Nome, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden Heart Emergency Physicians Inc | 1658461892 | 14 |
| Entity Name | Matsu Emergency Medicine Physicians Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548129 PECOS PAC ID: 1557251022 Enrollment ID: O20040318000130 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
| Entity Name | Norton Sound Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154358232 PECOS PAC ID: 7517858137 Enrollment ID: O20040323001076 |
| Entity Name | Golden Heart Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649469446 PECOS PAC ID: 1658461892 Enrollment ID: O20071212000298 |
| Entity Name | Norton Sound Health Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225101041 PECOS PAC ID: 7517858137 Enrollment ID: O20080227000439 |
| Entity Name | Tanana Valley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark O Simon, MD Po Box 70087, Fairbanks, AK 99707-0087 Ph: (907) 460-6667 | Mark O Simon, MD 1650 Cowles St, Fairbanks, AK 99701-5925 Ph: (907) 458-5556 |
Dr. Stephen S Gerrish, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1408 19th Ave, Tanana Chiefs Conference, Fairbanks, AK 99701 Phone: 907-451-6682 Fax: 907-459-3811 | |
Dr. Caroline Elizabeth Timmerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5555 | |
Carol J Phillips, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5555 | |
John Browning Bass, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4076 Neely Rd, Fairbanks, AK 99703 Phone: 907-361-5172 | |
Dr. Leonie Horster Deramus, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way, Ste 130b, Fairbanks, AK 99701 Phone: 907-452-2178 Fax: 907-452-3524 | |
Art J Strauss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, Fairbanks, AK 99701 Phone: 907-458-5555 |