Coleen Marie Simon, NP in Deer Park, NY - Medicare Nurse Practitioner

Coleen Marie Simon, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Deer Park, New York. Her current practice location is 1600 Deer Park Ave, Deer Park, New York. You can reach out to her office (for appointments etc.) via phone at (631) 667-0388.

Coleen Marie Simon is licensed to practice in New York (license number F307388-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730542721.

Contact Information

	Coleen Marie Simon, NP
	1600 Deer Park Ave, Deer Park, NY 11729-5208
	(631) 667-0388
	Not Available

Map and Direction

Provider's Profile

Full Name	Coleen Marie Simon
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1600 Deer Park Ave, Deer Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730542721
Provider Enumeration Date: 03/29/2016
Last Update Date: 03/29/2016

Medicare PECOS Information:

PECOS PAC ID: 5597057372
Enrollment ID: I20160714002372

Medical Identifiers

Medical identifiers for Coleen Marie Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730542721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F307388-1 (New York)	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. Coleen Marie Simon allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051

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. Coleen Marie 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 Address	Practice Location Address
Coleen Marie Simon, NP 1600 Deer Park Ave, Deer Park, NY 11729-5208 Ph: () -	Coleen Marie Simon, NP 1600 Deer Park Ave, Deer Park, NY 11729-5208 Ph: (631) 667-0388

Reviews and Comments

Nurse Practitioner Nurses in Deer Park, NY

Dina Nicklas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Wright Ave, Deer Park, NY 11729 Phone: 631-241-5928
Priscilla Rose Pouchie, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Van Cott Rd Ste 2e, Deer Park, NY 11729 Phone: 631-274-0777
Georgia Kelly-williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Tiber Ave, Deer Park, NY 11729 Phone: 631-404-8843
Catherine Stinsman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-6690 Fax: 631-595-1502
Celeste Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Sammis Ave, Deer Park, NY 11729 Phone: 917-664-9932
Desiree Inez Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166
Sangeetha Madhu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Fulton St, Deer Park, NY 11729 Phone: 516-416-1670 Fax: 516-416-1670

Coleen Marie Simon, NP - Medicare Nurse Practitioner in Deer Park, NY