Mary Tabatha Simon, FNP in Easley, SC - Medicare Nurse Practitioner

Mary Tabatha Simon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Easley, South Carolina. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Francis Physician Services Inc and her current practice location is 290 Enterprise Dr, Easley, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 365-0290.

Mary Tabatha Simon is licensed to practice in South Carolina (license number 19600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902282270.

Contact Information

	Mary Tabatha Simon, FNP
	290 Enterprise Dr, Easley, SC 29642-8280
	(864) 365-0290
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Tabatha Simon
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	290 Enterprise Dr, Easley, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Tabatha Simon graduated from nursing school in 2015

NPI Data:

NPI Number: 1902282270
Provider Enumeration Date: 08/10/2015
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 9739489428
Enrollment ID: I20151202001472

Medical Identifiers

Medical identifiers for Mary Tabatha Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902282270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	24643 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	19600 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Interim Healthcare Of The Upstate	Greenville, SC	Home health agency
St Francis-downtown	Greenville, SC	Hospital
Prisma Health Baptist Easley Hospital	Easley, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Francis Physician Services Inc	6608826821	103

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. Mary Tabatha Simon allows following entities to bill medicare on her behalf.

Entity Name	St Francis Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259

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. Mary Tabatha 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
Mary Tabatha Simon, FNP 3 Professional Park Dr, Ste 21, Johnson City, TN 37604-6529 Ph: (423) 434-6300	Mary Tabatha Simon, FNP 290 Enterprise Dr, Easley, SC 29642-8280 Ph: (864) 365-0290

Reviews and Comments

Nurse Practitioner Nurses in Easley, SC

Mrs. Jacquelyn Nicole Hannah, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Fleetwood Dr, Easley, SC 29640 Phone: 864-455-7000 Fax: 864-442-8279
Alison F Hart, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110 Fax: 864-442-4126
Natalie Isbell Ragsdale, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Fleetwood Dr Ste 100, Easley, SC 29640 Phone: 864-442-7618 Fax: 864-442-7155
Danielle Sheffield, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5269 Calhoun Memorial Hwy, Easley, SC 29640 Phone: 866-389-2727
Mrs. Norah Chinenye Ezike, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way, Easley, SC 29642 Phone: 864-442-4110
Adam Lance Schendel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-442-4110
Mrs. Lisa Ann Finch, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4741 Highway 153 Ste B, Easley, SC 29642 Phone: 888-506-5558 Fax: 864-900-4676

Mary Tabatha Simon, FNP - Medicare Nurse Practitioner in Easley, SC