Mr Simon Rivera, - Medicare Physician Assistant in Midlothian, VA

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Mr Simon Rivera, is a medicare enrolled "Physician Assistant" in Midlothian, Virginia. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northern Virginia Carenow Urgent Care Llc and his current practice location is 13700 St. Francis Blvd, Emergency Medicine Department, Midlothian, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 594-7950.

Mr Simon Rivera is licensed to practice in Virginia (license number 0110002952) 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 1700096963.

Contact Information

Mr Simon Rivera,
13700 St. Francis Blvd, Emergency Medicine Department,
Midlothian, VA 23114-3267
(804) 594-7950
(804) 594-0489

Map and Direction




Provider's Profile

Full NameMr Simon Rivera
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location13700 St. Francis Blvd, Midlothian, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Simon Rivera graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1700096963
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082708383
  • Enrollment ID: I20090330000503

Medical Identifiers

Medical identifiers for Mr Simon Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700096963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 011817 (New York)Secondary
363A00000XPhysician Assistant 0110002952 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Virginia Carenow Urgent Care Llc428490205755

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. Mr Simon Rivera allows following entities to bill medicare on his behalf.
Entity NameNorthern Virginia Carenow Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548702616
PECOS PAC ID: 4284902057
Enrollment ID: O20170620001142
Entity NameMid Atlantic Long Term Care Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083222129
PECOS PAC ID: 3971921206
Enrollment ID: O20200917001919
Entity NameSe Virginia Value Based Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225720501
PECOS PAC ID: 6103288170
Enrollment ID: O20230809000204
Entity NameBetter Outcomes LT Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467246256
PECOS PAC ID: 9133619968
Enrollment ID: O20251110000038

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. Mr Simon Rivera 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 AddressPractice Location Address
Mr Simon Rivera,
38935 Ann Arbor Road, Credentialing/payer Contracting,
Livonia, MI 48150-3397

Ph: (734) 805-0477		Mr Simon Rivera,
13700 St. Francis Blvd, Emergency Medicine Department,
Midlothian, VA 23114-3267

Ph: (804) 594-7950

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.