Dustin T Simcoe, is a medicare enrolled "Physician Assistant" in La Porte, Indiana. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice La Porte Clinic Company Llc and his current practice location is
401 Newporte Blvd, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 575-6244.
Dustin T Simcoe is licensed to practice in Indiana (license number 10001987A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295108942.
Provider's Profile
| Full Name | Dustin T Simcoe |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 401 Newporte Blvd, La Porte, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dustin T Simcoe graduated from nursing school in 2015
NPI Data:
- NPI Number: 1295108942
- Provider Enumeration Date: 11/03/2015
- Last Update Date: 06/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557665338
- Enrollment ID: I20160216000226
Medical Identifiers
Medical identifiers for Dustin T Simcoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295108942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 10001987A (Indiana) | Primary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| La Porte Clinic Company Llc | 0446558357 | 66 |
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. Dustin T Simcoe allows following entities to bill medicare on his behalf.
| Entity Name | La Porte Clinic Company LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
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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. Dustin T Simcoe 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 |
Dustin T Simcoe, 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004 | Dustin T Simcoe, 401 Newporte Blvd, La Porte, IN 46350-4099 Ph: (219) 575-6244 |
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