Miriam J Simon, PA - Medicare Physician Assistant in Lyndon, VT

Miriam J Simon, PA is a medicare enrolled "Physician Assistant" in Lyndon, Vermont. Her current practice location is Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 748-9501.

Miriam J Simon is licensed to practice in Vermont (license number 055-0030096) 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 1881621753.

Contact Information

Miriam J Simon, PA
Nvrh Corner Medical, 195 Industrial Pkwy,
Lyndon, VT 05849
(802) 748-9501
Not Available



Provider's Profile

Full NameMiriam J Simon
GenderFemale
SpecialityPhysician Assistant
LocationNvrh Corner Medical, Lyndon, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881621753
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 03/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2466522024
  • Enrollment ID: I20080609000440

Medical Identifiers

Medical identifiers for Miriam J Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881621753NPI-NPPES
1002900MedicaidVT
3075309MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 055-0030096 (Vermont)Primary

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. Miriam J 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 AddressPractice Location Address
Miriam J Simon, PA
165 Sherman Dr,
St Johnsbury, VT 05819-9811

Ph: (802) 748-9405
Miriam J Simon, PA
Nvrh Corner Medical, 195 Industrial Pkwy,
Lyndon, VT 05849

Ph: (802) 748-9501

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