Mrs Sandra Simon, OTR/L, CHT in Los Angeles, CA - Medicare Occupational Therapist Provider

Mrs Sandra Simon, OTR/L, CHT is a medicare enrolled "Occupational Therapist - Hand" provider in Los Angeles, California. Her current practice location is 1823 Pennsylvania Ave, Apartment C, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 605-2145.

Mrs Sandra Simon is licensed to practice in California (license number 4403) 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 1902242878.

Contact Information

	Mrs Sandra Simon, OTR/L, CHT
	1823 Pennsylvania Ave, Apartment C, Los Angeles, CA 90033-2430
	(323) 605-2145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sandra Simon
Gender	Female
Speciality	Occupational Therapist - Hand
Location	1823 Pennsylvania Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902242878
Provider Enumeration Date: 05/17/2013
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5193776771
Enrollment ID: I20140918002716

Medical Identifiers

Medical identifiers for Mrs Sandra Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902242878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	4403 (California)	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. Mrs Sandra Simon allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Sandra 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
Mrs Sandra Simon, OTR/L, CHT 2168 S Atlantic Blvd, # 317, Monterey Park, CA 91754-6839 Ph: (323) 605-2145	Mrs Sandra Simon, OTR/L, CHT 1823 Pennsylvania Ave, Apartment C, Los Angeles, CA 90033-2430 Ph: (323) 605-2145

Reviews and Comments

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Mrs Sandra Simon, OTR/L, CHT - Medicare Occupational Therapist in Los Angeles, CA