Simon Pedro Jacquez, PA - Medicare Physician Assistant in Phoenix, AZ

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Simon Pedro Jacquez, PA is a medicare enrolled "Physician Assistant - Medical" in Phoenix, Arizona. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice I Am Wellness Az Llc, Progressive Pain Management Inc, Ohana Kids And Family Kare Llc and his current practice location is 6211 N 35th Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 242-5000.

Simon Pedro Jacquez is licensed to practice in Arizona (license number 9856) 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 1336820976.

Contact Information

Simon Pedro Jacquez, PA
6211 N 35th Ave,
Phoenix, AZ 85017-1415
(602) 242-5000
(480) 605-2291

Map and Direction




Provider's Profile

Full NameSimon Pedro Jacquez
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location6211 N 35th Ave, Phoenix, Arizona
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:
  • Simon Pedro Jacquez graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1336820976
  • Provider Enumeration Date: 07/27/2023
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345603908
  • Enrollment ID: I20230829004272

Medical Identifiers

Medical identifiers for Simon Pedro Jacquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336820976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 9856 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
I Am Wellness Az Llc812349734435
Progressive Pain Management Inc115349072732
Ohana Kids And Family Kare Llc51931564383

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 Pedro Jacquez allows following entities to bill medicare on his behalf.
Entity NameMichael F Esber DPM PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902907504
PECOS PAC ID: 7810905759
Enrollment ID: O20060404000112
Entity NameAdvanced Minimally Invasive Surgical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295056919
PECOS PAC ID: 4183758527
Enrollment ID: O20100819001272
Entity NameMaria Gonzalez Berlari MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699025981
PECOS PAC ID: 2769625854
Enrollment ID: O20130820001092
Entity NameHope Diabetes Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104865757
PECOS PAC ID: 4183620487
Enrollment ID: O20170719003937
Entity NameOhana Kids & Family Kare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003356320
PECOS PAC ID: 5193156438
Enrollment ID: O20200520002478
Entity NameI Am Wellness Az LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184354532
PECOS PAC ID: 8123497344
Enrollment ID: O20221211000016

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 Pedro Jacquez 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
Simon Pedro Jacquez, PA
6211 N 35th Ave,
Phoenix, AZ 85017-1415

Ph: (602) 242-5000		Simon Pedro Jacquez, PA
6211 N 35th Ave,
Phoenix, AZ 85017-1415

Ph: (602) 242-5000

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.