MARY ALICE SIMONTON PAAA
NPI 1831235050
Anesthesiologist Assistant in Morrow, GA
NPI Status: Active since January 29, 2007
Contact Information
6649 LAKE DR
MORROW, GA
ZIP 30260
Phone: (770) 968-9978
Fax: (770) 968-9975
- Individual
- Female
- Years of Experience 34
- Anesthesiologist Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARY SIMONTON
This page provides the complete NPI Profile along with additional information for Mary Simonton, a provider established in Morrow, Georgia with a medical specialization in Anesthesiologist Assistant and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1831235050 assigned on January 2007. The practitioner's primary taxonomy code is 367H00000X with license number 002350 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1831235050
- Provider Name
- MARY ALICE SIMONTON PAAA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6649 LAKE DR MORROW, GA 30260
- Location Phone
- (770) 968-9978
- Location Fax
- (770) 968-9975
- Mailing Address
- 6649 LAKE DR MORROW, GA 30260
- Mailing Phone
- (770) 968-9978
- Mailing Fax
- (770) 968-9975
- Medical School Name
- OTHER
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-29-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 002350
- License State
- GA
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
R11342 | MEDICARE UPIN (02) | GA | |
32BBBHT | MEDICARE ID-TYPE UNSPECIFIED (04) | GA |
Medicare Participation & PECOS Enrollment Status
Mary Simonton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8820068224
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040730000907
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for other procedure on large bowel using an endoscope
Anesthesia for other procedure on lower spine
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
Anesthesia for procedure on eyelid
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
This service was performed 25 times for 25 patientsAnesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.
This service was performed 14 times for 14 patientsAnesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
This service was performed 15 times for 15 patientsAnesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
This service was performed 61 times for 61 patientsAnesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
This service was performed 16 times for 16 patientsReviews for MARY ALICE SIMONTON PAAA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 3 | 1 | 2 | 3 | 5 | 0 | 5 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 6 | 1 | 4 | 3 | 10 | 0 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 6 + 1 + 4 + 3 + 1 + 0 + 0 + 1 + 0 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1831235050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1265463723 | GWENDOLYN KLOTH ZEMBER M.D. Individual | Anesthesiology | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1902990286 | RAOOF KAZEMI PAAA Individual | Anesthesiologist Assistant | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1902991987 | HECTOR MANUEL NEGRON CRNA Individual | Nurse Anesthetist, Certified Registered | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1568557569 | NASSER SANE PAAA Individual | Anesthesiologist Assistant | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1619062593 | WENDY KAAP PAAA Individual | Anesthesiologist Assistant | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1376696161 | SUSAN KATHLEEN MCINTIRE PAAA Individual | Anesthesiologist Assistant | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1780902130 | DR. TIFFINY WILLIAMS TURE' M.D. Individual | Anesthesiology | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
1245287192 | CAPITOL ANESTHESIOLOGY, PC Organization | Anesthesiology | 6649 LAKE DR MORROW, GA 30260 (770) 968-9978 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831235050, enumerated in the NPI registry as an "individual" on January 29, 2007
The provider is located at 6649 Lake Dr Morrow, Ga 30260 and the phone number is (770) 968-9978
The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X
The provider has more than 34 years of experience.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on large bowel using an endoscope, Anesthesia for other procedure on lower spine, Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back, Anesthesia for procedure on eyelid and Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand.
This NPI record was last updated on January 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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