Kelly Ann Jimenez, in Fontana, CA - Medicare Social Worker Provider

Kelly Ann Jimenez, is a medicare enrolled "Social Worker - Clinical" provider in Fontana, California. Her current practice location is 14677 Merrill Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (951) 643-2340.

Kelly Ann Jimenez is licensed to practice in California (license number 123831) 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 1003567553.

Contact Information

	Kelly Ann Jimenez,
	14677 Merrill Ave, Fontana, CA 92335-4219
	(951) 643-2340
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ann Jimenez
Gender	Female
Speciality	Social Worker - Clinical
Location	14677 Merrill Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003567553
Provider Enumeration Date: 01/17/2022
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0446798383
Enrollment ID: I20240809003563

Medical Identifiers

Medical identifiers for Kelly Ann Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003567553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	123831 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ann Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Cyti Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919

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. Kelly Ann Jimenez 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 Address	Practice Location Address
Kelly Ann Jimenez, 14677 Merrill Ave, Fontana, CA 92335-4219 Ph: (951) 643-2340	Kelly Ann Jimenez, 14677 Merrill Ave, Fontana, CA 92335-4219 Ph: (951) 643-2340

Reviews and Comments

Social Worker in Fontana, CA

Alexis Uriel Tovar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14677 Merrill Ave, Fontana, CA 92335 Phone: 909-643-2340
Diana Perez Duran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-997-2645
Ms. Monica Victoria Pulido, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8485 Tamarind Ave, Fontana, CA 92335 Phone: 909-428-2366
Monique Bautista, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6101 Cherry Ave, Fontana, CA 92336 Phone: 909-202-8361
Miguel Angel Velasco-ceja, MSW; ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15218 Summit Ave Ste 300-214, Fontana, CA 92336 Phone: 909-219-4500
Joel Latimer, MFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Kelly Ann Jimenez, - Medicare Clinical Social Worker in Fontana, CA