Ms Simone M Chang, CNM, WHNP-BC, RN is a medicare enrolled "Midwife" in Brooklyn, New York. Her current practice location is
967 48th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 283-6000.
Ms Simone M Chang is licensed to practice in New York (license number 002086) 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 1376196758.
Provider's Profile
| Full Name | Ms Simone M Chang |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 967 48th St, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376196758
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 07/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214329218
- Enrollment ID: I20220125002634
Medical Identifiers
Medical identifiers for Ms Simone M Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376196758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 709311 (New York) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 421642 (New York) | Secondary |
| 176B00000X | Midwife | 002086 (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. Ms Simone M Chang allows following entities to bill medicare on her behalf.
| Entity Name | Maimonides Faculty Practice Plan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
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| Entity Name | Mmc Ob/gyn Faculty Practice Plan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306843388 PECOS PAC ID: 0345274809 Enrollment ID: O20050923000301 |
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| Entity Name | Maimonides Medical Center Mmc Midwifery |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548267750 PECOS PAC ID: 6406024421 Enrollment ID: O20110719000190 |
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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. Ms Simone M Chang 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 |
Ms Simone M Chang, CNM, WHNP-BC, RN 231 Amboy St Unit 1, Brooklyn, NY 11212-5033 Ph: (347) 217-4456 | Ms Simone M Chang, CNM, WHNP-BC, RN 967 48th St, Brooklyn, NY 11219-2919 Ph: (718) 283-6000 |
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