Dr Wanda Jimenez, MDMPH in Centralia, WA - Medicare Family Practice

Dr Wanda Jimenez, MDMPH is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Centralia, Washington. She graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Rejuventa Medical Corp and her current practice location is 1707 Cooks Hill Rd, Centralia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 736-1961.

Dr Wanda Jimenez is licensed to practice in New York (license number 175463) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306867700.

Contact Information

	Dr Wanda Jimenez, MDMPH
	1707 Cooks Hill Rd, Centralia, WA 98531-9071
	(360) 736-1961
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Wanda Jimenez
Gender	Female
Speciality	Family Practice
Experience	39 Years
Location	1707 Cooks Hill Rd, Centralia, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Wanda Jimenez graduated from medical school in 1986

NPI Data:

NPI Number: 1306867700
Provider Enumeration Date: 07/21/2006
Last Update Date: 07/19/2010

Medicare PECOS Information:

PECOS PAC ID: 2466419270
Enrollment ID: I20080930000259

Medical Identifiers

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

Identifier	Type	State	Issuer
1306867700	NPI	-	NPPES
0239255	Other	WA	LABOR & INDUSTRIES
8118JI	Other		REGENCE
8530024	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	175463 (New York)	Primary
207Q00000X	Family Medicine	MD00048802 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Centralia Hospital	Centralia, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rejuventa Medical Corp	6305270844	2

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 Wanda Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Rejuventa Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013550987 PECOS PAC ID: 6305270844 Enrollment ID: O20191216003122

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 Wanda 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 Wanda Jimenez, MDMPH 1707 Cooks Hill Rd, Centralia, WA 98531-9071 Ph: (360) 736-1965	Dr Wanda Jimenez, MDMPH 1707 Cooks Hill Rd, Centralia, WA 98531-9071 Ph: (360) 736-1961

Dr Wanda Jimenez, MDMPH - Medicare Family Practice in Centralia, WA