Dr Santiago Jimenez, MD | |
1223 Gateway Dr, Melbourne, FL 32901-2607 | |
(321) 549-0677 | |
Not Available |
Full Name | Dr Santiago Jimenez |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1223 Gateway Dr, Melbourne, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073595740 | NPI | - | NPPES |
PENDING | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | BP10024058 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME94727 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Viera Hospital | Melbourne, FL | Hospital |
Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
Palm Bay Hospital | Palm bay, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Mobile Ultrasound Llc | 4183761893 | 13 |
Community Mobile Diagnostics Llc | 4789610643 | 4 |
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Kan-di-ki Llc | 5991737140 | 23 |
Brevard Physician Associates Pllc | 1850535048 | 197 |
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Health First Medical Group Llc | 7416100672 | 689 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20130628000384 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20160912001466 |
Entity Name | Community Mobile Ultrasound Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20161013000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Santiago Jimenez, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 549-0677 | Dr Santiago Jimenez, MD 1223 Gateway Dr, Melbourne, FL 32901-2607 Ph: (321) 549-0677 |
David Samuel Epstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Thomas H Magee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901 Phone: 321-409-9900 Fax: 321-309-9033 | |
Dr. Irina S Mezheritskiy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238 | |
Dr. Charles Ehlenberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory Street, Melbourne, FL 32901 Phone: 321-434-7000 | |
Steven D Picerne, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 W Hibiscus Blvd Ste 100, Melbourne, FL 32901 Phone: 321-726-3800 | |
Dr. Brent D Brandon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238 |