EDNEA A. SIMON NPI 1174604425

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) in Seattle, WA

NPI 1174604425 Individual Female Years of Experience 38 Psychiatry & Neurology Neurology with Special Qualifications in... PECOS Enrolled Accepts Medicare Approved Payment

About EDNEA SIMON

Ednea Simon is a provider established in Seattle, Washington and her medical specialization is psychiatry & neurology (neurology with special qualifications in child neurology) with more than 38 years of experience. The NPI number of Ednea Simon is 1174604425 and was assigned on October 2006. The practitioner's primary taxonomy code is 2084N0402X with license number MD00044096 (WA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

Ednea Simon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ednea Simon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Swedish Medical Center / Cherry Hill, Providence Regional Medical Center Everett, Swedish Edmonds Hospital, Swedish Medical Center and Swedish Issaquah.

NPI

1174604425

Provider Name EDNEA A. SIMON
Provider Location Address550 17TH AVE 5TH FLOOR SEATTLE, WA 98122
Provider Mailing Address550 17TH AVE 5TH FLOOR SEATTLE, WA 98122
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1983
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-17-2006
Last Update Date09-09-2010


Primary Taxonomy

Taxonomy Code2084N0402X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology with Special Qualifications in Child Neurology
License No.MD00044096
License StateWA
Taxonomy DescriptionA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Business Address

EDNEA A. SIMON
550 17TH AVE
5TH FLOOR
SEATTLE, WA
ZIP 98122
Phone: (206) 215-1440
Fax: (206) 215-1441

Get Directions


Mailing Address

EDNEA A. SIMON
550 17TH AVE
5TH FLOOR
SEATTLE, WA
ZIP 98122
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9335160340
PECOS Enrollment IDI20051216000671
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.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ednea Simon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SWEDISH MEDICAL CENTER / CHERRY HILL500 17TH AVENUE
SEATTLE, WA 98122
(206) 320-2000Acute Care Hospitals500025
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT1321 COLBY AVENUE
EVERETT, WA 98201
(425) 261-2000Acute Care Hospitals500014
SWEDISH EDMONDS HOSPITAL21601 76TH AVENUE WEST
EDMONDS, WA 98026
(425) 640-4000Acute Care Hospitals500026
SWEDISH MEDICAL CENTER747 BROADWAY
SEATTLE, WA 98122
(206) 386-6000Acute Care Hospitals500027
SWEDISH ISSAQUAH751 NE BLAKELY DR
ISSAQUAH, WA 98029
(425) 313-4000Acute Care Hospitals500152

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsMD00044096WANo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8441875MEDICAID (05)WA
I46953MEDICARE UPIN (02)
246360OTHER (01)
8857594MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184685539MS. DIANA LYNN HERRING ARNP
Individual
Nurse Practitioner (Adult Health)550 17TH AVE SUITE 500
SEATTLE, WA 98122
(206) 320-2847
1568408912DR. DAVID ALFRED HANSCOM MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)550 17TH AVE #500
SEATTLE, WA 98122
(206) 320-2800
1891804530 ANGELI MAYADEV MD
Individual
Physical Medicine & Rehabilitation550 17TH AVE SWEDISH NEUROSCIENCE SPECIALISTS
SEATTLE, WA 98122
(206) 386-3880
1154485001DR. JOHN K HSIANG MD
Individual
Neurological Surgery550 17TH AVE STE 500
SEATTLE, WA 98122
(206) 320-2800
1679637532 PETER C NORA MD
Individual
Neurological Surgery550 17TH AVE STE 500
SEATTLE, WA 98122
(206) 320-2800
1871629717PROF. VICTOR CK TSE MD PHD
Individual
Neurological Surgery550 17TH AVE 5TH FLOOR
SEATTLE, WA 98122
(206) 320-2800
1376662049 DARRYL S WELLS MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)550 17TH AVE SUITE 680
SEATTLE, WA 98122
(206) 861-8550
1174706782MINOR & JAMES MEDICAL PLLC
Organization
Internal Medicine (Sleep Medicine)550 17TH AVE SUITE 680
SEATTLE, WA 98122
(206) 320-6550
1881867885MINOR & JAMES MEDICAL PLLC
Organization
Durable Medical Equipment & Medical Supplies550 17TH AVE
SEATTLE, WA 98122
(206) 386-9500
1942476007MS. POLLY A SULLIVAN RC
Individual
Social Worker550 17TH AVE 5TH FLOOR
SEATTLE, WA 98122
(206) 386-3880
1649437211DR. PAVLE REPOVIC MD, PHD
Individual
Psychiatry & Neurology (Neurology)550 17TH AVE STE 540 MS CENTER SWEDISH NEUROSCIENCE INSTITUTE
SEATTLE, WA 98122
(206) 320-2200
1326295205MS. ELIZABETH M PERPETUA ARNP
Individual
Nurse Practitioner (Acute Care)550 17TH AVE 6TH FLOOR
SEATTLE, WA 98122
(206) 861-8550
1922253178 JENNIFER L. SCHOENFELD ARNP
Individual
Nurse Practitioner550 17TH AVE STE 540, JAMES TOWER FIFTH FLOOR
SEATTLE, WA 98122
(206) 386-3880
1871737981MS. JENNIFER MERCADO ARNP
Individual
Nurse Practitioner550 17TH AVE 5TH FLOOR
SEATTLE, WA 98122
(206) 320-2800
1326370289DR. DRAHOSLAV SOKOL M.D.
Individual
Neurological Surgery550 17TH AVE SUITE 500
SEATTLE, WA 98122
(206) 320-2800
1134496938SWEDISH HEALTH SERVICES
Organization
Clinic/Center (Sleep Disorder Diagnostic)550 17TH AVE STE A20
SEATTLE, WA 98122
(206) 386-4744
1871851667MS. JANICE MAZO OLIVO PA-C
Individual
Physician Assistant (Surgical)550 17TH AVE SUITE 500
SEATTLE, WA 98122
(206) 320-2800
1548389968 ROXANNE B BLISS ARNP
Individual
Nurse Practitioner550 17TH AVE SUITE 680
SEATTLE, WA 98122
(206) 215-4545
1316107352 LINA FINE MD, MPHIL
Individual
Psychiatry & Neurology (Psychiatry)550 17TH AVE FLOOR A
SEATTLE, WA 98122
(206) 386-4744
1750585097MRS. SALLY HERNANDEZ ALFRED FNP-BC
Individual
Nurse Practitioner (Family)550 17TH AVE STE 680, 6TH FLOOR
SEATTLE, WA 98122
(206) 861-8550

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.