Ricacha Jimenez, CASE MANAGER in Waterbury, CT

Ricacha Jimenez, CASE MANAGER is a medicare enrolled "Counselor" provider in Waterbury, Connecticut. Her current practice location is 402 E Main St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 755-1143.

Ricacha Jimenez is licensed to practice in * (Not Available) (license number ) 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 1407152168.

Contact Information

	Ricacha Jimenez, CASE MANAGER
	402 E Main St, Waterbury, CT 06702-1701
	(203) 755-1143
	(203) 755-1447

Map and Direction

Healthcare Provider's Profile

Full Name	Ricacha Jimenez
Gender	Female
Speciality	Counselor
Location	402 E Main St, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407152168
Provider Enumeration Date: 01/28/2011
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2365885126
Enrollment ID: I20240208001563

Medical Identifiers

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

Identifier	Type	State	Issuer
1407152168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Primary
171M00000X	Case Manager/care Coordinator	(Connecticut)	Secondary

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. Ricacha Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054

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. Ricacha 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
Ricacha Jimenez, CASE MANAGER 402 E Main St, Waterbury, CT 06702-1701 Ph: (203) 755-1143	Ricacha Jimenez, CASE MANAGER 402 E Main St, Waterbury, CT 06702-1701 Ph: (203) 755-1143

Reviews and Comments

Counselor in Waterbury, CT

Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218
Mrs. Elizabeth Joan Prete, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S Main St, Suite 1, Waterbury, CT 06706 Phone: 203-596-9724 Fax: 203-759-0566
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000

Ricacha Jimenez, CASE MANAGER - Medicare Counselor in Waterbury, CT