Anielkha Mercedes Jimenez Tijerino, LCSW96417 is a medicare enrolled "Social Worker - Clinical" provider in Santa Monica, California. Her current practice location is
901 Wilshire Blvd Fl 1, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 829-8945.
Anielkha Mercedes Jimenez Tijerino is licensed to practice in California (license number LCSW96417) 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 1790055085.
Healthcare Provider's Profile
| Full Name | Anielkha Mercedes Jimenez Tijerino |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 901 Wilshire Blvd Fl 1, Santa Monica, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1790055085
- Provider Enumeration Date: 01/04/2012
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113320797
- Enrollment ID: I20210720001270
Medical Identifiers
Medical identifiers for Anielkha Mercedes Jimenez Tijerino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790055085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1041C0700X (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW96417 (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. Anielkha Mercedes Jimenez Tijerino allows following entities to bill medicare on her behalf.
| Entity Name | Providence Saint Johns Medical Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904 |
|---|
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. Anielkha Mercedes Jimenez Tijerino 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 |
|---|
Anielkha Mercedes Jimenez Tijerino, LCSW96417
2550 E Foothill Blvd,
Pasadena, CA 91107-3406
Ph: (626) 744-5230 | Anielkha Mercedes Jimenez Tijerino, LCSW96417
901 Wilshire Blvd Fl 1,
Santa Monica, CA 90401-1854
Ph: (310) 829-8945 |
Reviews and Comments