Georgia Sue Jimenez, LSCSW in Wichita, KS - Medicare Counselor Provider

Georgia Sue Jimenez, LSCSW is a medicare enrolled "Counselor - Mental Health" provider in Wichita, Kansas. Her current practice location is 415 N Poplar Ave, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 686-6671.

Georgia Sue Jimenez is licensed to practice in Kansas (license number 2396) 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 1992892467.

Contact Information

	Georgia Sue Jimenez, LSCSW
	415 N Poplar Ave, Wichita, KS 67214-4529
	(316) 686-6671
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georgia Sue Jimenez
Gender	Female
Speciality	Counselor - Mental Health
Location	415 N Poplar Ave, Wichita, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992892467
Provider Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092799080
Enrollment ID: I20040616001288

Medical Identifiers

Medical identifiers for Georgia Sue Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992892467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2396 (Kansas)	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. Georgia Sue Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Affiliated Family Counselors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861642803 PECOS PAC ID: 9537064134 Enrollment ID: O20140523000847

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. Georgia Sue 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
Georgia Sue Jimenez, LSCSW 4103 N Tara Cir, Wichita, KS 67226-3302 Ph: (316) 634-6480	Georgia Sue Jimenez, LSCSW 415 N Poplar Ave, Wichita, KS 67214-4529 Ph: (316) 686-6671

Reviews and Comments

Counselor in Wichita, KS

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Mikaela Faith Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6525 E Mainsgate Rd, Wichita, KS 67226 Phone: 316-619-9865
Mrs. Cathleen Cheri Lamb, M.A.,AAPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 856 S Green St, Wichita, KS 67211 Phone: 316-993-2722 Fax: 316-612-9618

Georgia Sue Jimenez, LSCSW - Medicare Counselor in Wichita, KS