Simon P Redmon Ii, FNP is a medicare enrolled "Nurse Practitioner - Family" in Seminary, Mississippi. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is
215 Bobby Beasley St, Seminary, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 722-4300.
Simon P Redmon Ii is licensed to practice in Mississippi (license number R784157) 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 1528176807.
Provider's Profile
| Full Name | Simon P Redmon Ii |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 215 Bobby Beasley St, Seminary, Mississippi |
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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. |
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Medical Education and Training:
- Simon P Redmon Ii graduated from nursing school in 1994
NPI Data:
- NPI Number: 1528176807
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 07/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840329082
- Enrollment ID: I20100526000220
Medical Identifiers
Medical identifiers for Simon P Redmon Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528176807 | NPI | - | NPPES |
| 00114375 | Medicaid | MS | |
| 640507572PA | Other | MS | AMERICAN ADMIN GROUP |
| 2007587 | Other | MS | UHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R784157 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hattiesburg Clinic, Pa | 5193706794 | 489 |
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. Simon P Redmon Ii allows following entities to bill medicare on his behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Simon P Redmon Ii 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 |
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Simon P Redmon Ii, FNP
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 722-4300 | Simon P Redmon Ii, FNP
215 Bobby Beasley St,
Seminary, MS 39479-5501
Ph: (601) 722-4300 |
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