Juan R Jimenez, MD is a medicare enrolled "Pediatrics" physician in Cobo Rojo, Puerto Rico. His current practice location is
48 Calle Henna, Urb El Cibao, Cobo Rojo, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 254-3925.
Juan R Jimenez is licensed to practice in Puerto Rico (license number 13535) 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 1861400715.
Physician's Profile
| Full Name | Juan R Jimenez |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 48 Calle Henna, Cobo Rojo, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861400715
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638318314
- Enrollment ID: I20130611000306
Medical Identifiers
Medical identifiers for Juan R Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861400715 | NPI | - | NPPES |
| 203668 | Other | | PREFERED HEALTH |
| 100317 | Other | | CRUZ AZUL |
| 20701JI | Other | | TRIPLE S |
| 7874 | Other | | INTERNATIONAL MEDICAL CAR |
| PE4244 | Other | | PANAMERICAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 13535 (Puerto Rico) | 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. Juan R Jimenez allows following entities to bill medicare on his behalf.
| Entity Name | Great Plains Tribal Chairmens Health Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376105452
PECOS PAC ID: 0648609917
Enrollment ID: O20200408001014 |
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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. Juan R 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 |
|---|
Juan R Jimenez, MD
2000 Calle Iris, Urb Buenaventura,
Mayaguez, PR 00682-1269
Ph: (787) 254-3925 | Juan R Jimenez, MD
48 Calle Henna, Urb El Cibao,
Cobo Rojo, PR 00623
Ph: (787) 254-3925 |
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