Gladys Janice Jimenez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Houston, Texas. Her current practice location is
1515 Holcombe Blvd, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 792-6161.
Gladys Janice Jimenez is licensed to practice in Texas (license number 38692) 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 1194158816.
Healthcare Provider's Profile
| Full Name | Gladys Janice Jimenez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1515 Holcombe Blvd, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194158816
- Provider Enumeration Date: 08/16/2013
- Last Update Date: 09/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082090063
- Enrollment ID: I20220928001217
Medical Identifiers
Medical identifiers for Gladys Janice Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194158816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 38692 (Texas) | 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. Gladys Janice Jimenez allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Referral Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953 |
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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. Gladys Janice 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 |
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Gladys Janice Jimenez, PHD
Po Box 4439,
Houston, TX 77210-4439
Ph: (713) 792-2991 | Gladys Janice Jimenez, PHD
1515 Holcombe Blvd,
Houston, TX 77030-4000
Ph: (713) 792-6161 |
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