Lacey Jimenez, in Tarzana, CA - Medicare Marriage & Family Therapist Provider

Lacey Jimenez, is a medicare enrolled "Marriage & Family Therapist" provider in Tarzana, California. Her current practice location is 19634 Ventura Blvd Ste 212, Tarzana, California. You can reach out to her office (for appointments etc.) via phone at (818) 758-9450.

Lacey 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 1912448655.

Contact Information

	Lacey Jimenez,
	19634 Ventura Blvd Ste 212, Tarzana, CA 91356-2984
	(818) 758-9450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Jimenez
Gender	Female
Speciality	Marriage & Family Therapist
Location	19634 Ventura Blvd Ste 212, Tarzana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912448655
Provider Enumeration Date: 03/14/2017
Last Update Date: 03/14/2017

Medicare PECOS Information:

PECOS PAC ID: 7719338565
Enrollment ID: I20240105003571

Medical Identifiers

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

Identifier	Type	State	Issuer
1912448655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Lacey Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Wellmind.online Ca Licensed Clinical Social Worker Prof. Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447871272 PECOS PAC ID: 5193136646 Enrollment ID: O20210427000465

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. Lacey 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
Lacey Jimenez, 19634 Ventura Blvd Ste 212, Tarzana, CA 91356-2984 Ph: (818) 758-9450	Lacey Jimenez, 19634 Ventura Blvd Ste 212, Tarzana, CA 91356-2984 Ph: (818) 758-9450

Reviews and Comments

Marriage & Family Therapist in Tarzana, CA

Toni Cicatello, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18321 Ventura Blvd, Suite 515, Tarzana, CA 91356 Phone: 818-757-1794
Ms. Maggie Uribe, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18401 Burbank Blvd, Suite 203, Tarzana, CA 91356 Phone: 818-378-7845 Fax: 818-344-5525
Rozita Aslemand, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5536 Tampa Ave, Tarzana, CA 91356 Phone: 818-577-7980 Fax: 818-757-7106
Jerren Chiu, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051
Paige Johnston, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051
Sharon Volner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-991-1051
Narda Iris Gonzalez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3908

Lacey Jimenez, - Medicare Couples Therapy in Tarzana, CA