Dr Douglas Jimenez, MD in Santa Rosa, CA - Medicare Family Medicine

Dr Douglas Jimenez, MD is a medicare enrolled "Family Medicine" physician in Santa Rosa, California. His current practice location is 1300 N Dutton Ave, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 459-6861.

Dr Douglas Jimenez is licensed to practice in California (license number A73110) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154474781.

Contact Information

	Dr Douglas Jimenez, MD
	1300 N Dutton Ave, Santa Rosa, CA 95401-7112
	(707) 459-6861
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Douglas Jimenez
Gender	Male
Speciality	Family Medicine
Location	1300 N Dutton Ave, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154474781
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/31/2018

Medicare PECOS Information:

PECOS PAC ID: 7719879899
Enrollment ID: I20170727002656

Medical Identifiers

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

Identifier	Type	State	Issuer
1154474781	NPI	-	NPPES
00A731100	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A73110 (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. Dr Douglas Jimenez allows following entities to bill medicare on his behalf.

Entity Name	Santa Rosa Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444

Entity Name	Planned Parenthood Shasta Diablo Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982763090 PECOS PAC ID: 7012807134 Enrollment ID: O20050713001139

Entity Name	North State Hospitalist Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598305682 PECOS PAC ID: 2668893447 Enrollment ID: O20200603000666

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 Douglas 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 Douglas Jimenez, MD 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 Ph: (707) 547-2222	Dr Douglas Jimenez, MD 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 Ph: (707) 459-6861

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Dr Douglas Jimenez, MD - Medicare Family Medicine in Santa Rosa, CA