Mrs Kalila Jimenez, in Fontana, CA - Medicare Marriage & Family Therapist Provider

Mrs Kalila Jimenez, is a medicare enrolled "Marriage & Family Therapist" provider in Fontana, California. Her current practice location is 16465 Sierra Lakes Pkwy Ste 140, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 244-9593.

Mrs Kalila Jimenez is licensed to practice in California (license number 123512) 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 1639688831.

Contact Information

	Mrs Kalila Jimenez,
	16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336-1242
	(909) 244-9593
	(833) 903-0337

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kalila Jimenez
Gender	Female
Speciality	Marriage & Family Therapist
Location	16465 Sierra Lakes Pkwy Ste 140, 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: 1639688831
Provider Enumeration Date: 09/20/2017
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0244678415
Enrollment ID: I20240406000314

Medical Identifiers

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

Identifier	Type	State	Issuer
1639688831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	123512 (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. Mrs Kalila Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Anthony Benigno Psyd Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295202943 PECOS PAC ID: 5193068765 Enrollment ID: O20190522001938

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. Mrs Kalila 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
Mrs Kalila Jimenez, 1828 253rd St, Lomita, CA 90717-1959 Ph: (702) 203-4468	Mrs Kalila Jimenez, 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336-1242 Ph: (909) 244-9593

Reviews and Comments

Marriage & Family Therapist in Fontana, CA

Renee Marriott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15217 San Bernardino Ave, Fontana, CA 92335 Phone: 909-347-1671
Mr. Mauricio Ramirez, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7993 Sierra Ave Ste F, Fontana, CA 92336 Phone: 909-822-3533
Ms. Monica Yvonne Wayne, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8485 Tamarind Ave, Fontana, CA 92335 Phone: 909-428-2366 Fax: 909-428-2363
Mrs. Michelle Galarza Martinez, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9310 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3746
Amira Dawood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5156 St Albert Dr, Fontana, CA 92336 Phone: 714-851-5345
Pamela Burney, Couples Therapy Medicare: Medicare Enrolled Practice Location: 15213 Willow Wood Ln, Fontana, CA 92336 Phone: 909-730-8974
Krystalynn Lois Williams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11195 Daylilly St, Fontana, CA 92337 Phone: 951-609-5099

Mrs Kalila Jimenez, - Medicare Couples Therapy in Fontana, CA