DR. SHEILA DABALOS SIMMONS D.C. NPI 1659401289

Chiropractor in Othello, WA

NPI 1659401289 Individual Female Years of Experience 24 Chiropractor Accepts Medicare Approved Payment

About SHEILA SIMMONS

Sheila Simmons is a provider established in Othello, Washington and her medical specialization is chiropractor with more than 24 years of experience. She graduated from Palmer College Chiropractic - West Sunnyvale in 1998. The NPI number of Sheila Simmons is 1659401289 and was assigned on March 2007. The practitioner's primary taxonomy code is 111N00000X with license number CH00003650 (WA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A chiropractor like Dr. Sheila Dabalos Simmons D.c. helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary. Sheila Simmons 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.

NPI

1659401289

Provider NameDR. SHEILA DABALOS SIMMONS D.C.
Provider Location Address361 E MAIN ST OTHELLO, WA 99344
Provider Mailing Address455 S 18TH AVE OTHELLO, WA 99344
GenderFemale
NPI Entity TypeIndividual
Medical School NamePALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year1998
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-06-2007
Last Update Date11-29-2012


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.CH00003650
License StateWA
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

DR. SHEILA DABALOS SIMMONS D.C.
361 E MAIN ST
OTHELLO, WA
ZIP 99344
Phone: (509) 488-3346
Fax: (509) 488-3347

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Mailing Address

DR. SHEILA DABALOS SIMMONS D.C.
455 S 18TH AVE
OTHELLO, WA
ZIP 99344
Phone: (509) 488-1558
Fax: (509) 488-3347



Medicare Participation

PECOS PAC ID3971664046
PECOS Enrollment IDI20081208000394
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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 169Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • 130Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

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
1154599454OTHER (01)WA

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154403707DR. ROBERT M. SIMMONS D.C.
Individual
Chiropractor361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1003002403 TAMMY A LOPEZ
Individual
Massage Therapist361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1306093299 DAHLI A. SAUCEDO LMP
Individual
Massage Therapist361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1154599454SIMMONS CHIROPRACTIC, P.C.
Organization
Chiropractor361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1649678129 ANADELIA MEDINA GALAVIZ LMP
Individual
Massage Therapist361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1023550589 EGMONT SALDIVAR
Individual
Massage Therapist361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1437649498 DERRICK J PERKES LMP
Individual
Massage Therapist361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346
1255381372DR. RODOLFO ANTONIO DABALOS D.C.
Individual
Chiropractor361 E MAIN ST
OTHELLO, WA 99344
(509) 488-3346

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.