Dr Andres Jimenez, MD in San Pedro, CA - Medicare Family Practice

Dr Andres Jimenez, MD is a medicare enrolled "Family Medicine" physician in San Pedro, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Institute and his current practice location is 1294 W 6th St, Suite 103, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 831-9482.

Dr Andres Jimenez is licensed to practice in California (license number G55250) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871609404.

Contact Information

	Dr Andres Jimenez, MD
	1294 W 6th St, Suite 103, San Pedro, CA 90731-2987
	(310) 831-9482
	(310) 831-1230

Map and Direction

Physician's Profile

Full Name	Dr Andres Jimenez
Gender	Male
Speciality	Family Practice
Experience	40 Years
Location	1294 W 6th St, San Pedro, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andres Jimenez attended and graduated from University Of Southern California Keck School Of Medicine in 1984

NPI Data:

NPI Number: 1871609404
Provider Enumeration Date: 08/23/2006
Last Update Date: 04/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0446395842
Enrollment ID: I20100310000601

Medical Identifiers

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

Identifier	Type	State	Issuer
1871609404	NPI	-	NPPES
00G552500	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G55250 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Little Company Of Mary Home Health	Torrance, CA	Home health agency
Providence Little Co Of Mary Med Ctr San Pedro	San pedro, CA	Hospital
Providence Little Company Of Mary Med Ctr Torrance	Torrance, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	293

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. Dr Andres Jimenez allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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. Dr Andres 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
Dr Andres Jimenez, MD 1499 W 1st St, San Pedro, CA 90732-3255 Ph: (310) 831-9482	Dr Andres Jimenez, MD 1294 W 6th St, Suite 103, San Pedro, CA 90731-2987 Ph: (310) 831-9482

Reviews and Comments

Family Medicine Doctors in San Pedro, CA

Lawrence Bruce Greenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-831-9482 Fax: 310-831-1230
Krupa Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Western Ave, San Pedro, CA 90732 Phone: 310-832-4225 Fax: 310-831-4860
Dr. Issa M Botros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-241-2590
Mr. Francisco J Correa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St, Ste 3, San Pedro, CA 90732 Phone: 310-241-1000 Fax: 310-227-8225
Dr. Anh Tam Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Bldg 30, 2400 S Pacific Ave, San Pedro, CA 90731 Phone: 310-653-8668
Michael Schreiber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 660 W 7th St, San Pedro, CA 90731 Phone: 818-488-4711 Fax: 818-337-7105
Dr. David H Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St Ste D, San Pedro, CA 90732 Phone: 310-514-0404 Fax: 310-521-9311

Dr Andres Jimenez, MD - Medicare Family Practice in San Pedro, CA