Dr Claudie H Jimenez, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Alexandria, Indiana. Her current practice location is
101 N Harrison St, Alexandria, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 233-0903.
Dr Claudie H Jimenez is licensed to practice in Indiana (license number 01077090A) 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 1396725693.
Physician's Profile
Full Name | Dr Claudie H Jimenez |
---|
Gender | Female |
---|
Speciality | Preventive Medicine - Addiction Medicine |
---|
Location | 101 N Harrison St, Alexandria, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396725693
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678855798
- Enrollment ID: I20170126000224
Medical Identifiers
Medical identifiers for Dr Claudie H Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396725693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 238182 (New York) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 35.147873 (Ohio) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 01077090A (Indiana) | 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. Dr Claudie H Jimenez allows following entities to bill medicare on her behalf.
Entity Name | Cleanslate Medical Group Of Indiana Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
---|
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 Claudie H 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 Claudie H Jimenez, MD 8102 Clearvista Parkway, Indianapolis, IN 46256-1661 Ph: (317) 849-8222 | Dr Claudie H Jimenez, MD 101 N Harrison St, Alexandria, IN 46001-2017 Ph: (765) 233-0903 |
Reviews and Comments