Miriam J Simon, PA is a medicare enrolled "Physician Assistant" in Lyndon, Vermont. Her current practice location is
Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 748-9501.
Miriam J Simon is licensed to practice in Vermont (license number 055-0030096) 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 1881621753.
Provider's Profile
| Full Name | Miriam J Simon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | Nvrh Corner Medical, Lyndon, Vermont |
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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: 1881621753
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 03/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 2466522024
- Enrollment ID: I20080609000440
Medical Identifiers
Medical identifiers for Miriam J Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881621753 | NPI | - | NPPES |
| 1002900 | Medicaid | VT | |
| 3075309 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 055-0030096 (Vermont) | 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. Miriam J Simon allows following entities to bill medicare on her behalf.
| Entity Name | Northern Counties Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649236225
PECOS PAC ID: 2860300936
Enrollment ID: O20041203000125 |
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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. Miriam J 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 |
|---|
Miriam J Simon, PA
165 Sherman Dr,
St Johnsbury, VT 05819-9811
Ph: (802) 748-9405 | Miriam J Simon, PA
Nvrh Corner Medical, 195 Industrial Pkwy,
Lyndon, VT 05849
Ph: (802) 748-9501 |
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