LIUBOU GRIGORYEVNA SIMONOVICH PA
NPI 1376942425
Physician Assistant in Greenville, SC
About Liubou Grigoryevna Simonovich Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIUBOU GRIGORYEVNA SIMONOVICH PA (NPI 1376942425) is an individual physician assistant in Greenville, South Carolina and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greer Memorial Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Liubou Grigoryevna Simonovich Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Greer Memorial Hospital
Acute Care Hospitals · Spartanburg, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Liubou Simonovich's NPI number?
The NPI number for Liubou Simonovich is 1376942425. It was assigned to this individual provider in the NPPES registry on August 14, 2014.
Where is Liubou Simonovich located?
Liubou Simonovich practices at 701 Grove Rd Fl 5, Greenville, SC 29605. The listed phone number is (864) 455-4411.
What is Liubou Simonovich's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Liubou Simonovich enrolled in Medicare?
Yes. Liubou Simonovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Liubou Simonovich affiliated with any hospitals?
According to CMS data, Liubou Simonovich is affiliated with Prisma Health Greer Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Liubou Simonovich was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Liubou Grigoryevna Simonovich, PA · NPI 1376942425
Physician Assistant physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since August 14, 2014.
## Identity
- **NPI:** 1376942425 (Entity type: Individual)
- **Enumerated:** August 14, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 701 GROVE RD FL 5, Greenville, SC 29605-4210
- **Phone:** (864) 455-4411 · **Fax:** (864) 455-4480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 25, 2023
- **Other identifiers:** Medicaid 3654PA (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1376942425) · Data from the CMS NPPES public registry.