Lissette Jimenez, MD - Medicare Hospitalist in Grand Rapids, MI

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Lissette Jimenez, MD is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Michigan. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Spectrum Health Primary Care Partners and her current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-3139.

Lissette Jimenez is licensed to practice in Michigan (license number 4301502123) 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 1932631322.

Contact Information

Lissette Jimenez, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 391-3139
Not Available

Map and Direction




Physician's Profile

Full NameLissette Jimenez
GenderFemale
SpecialityHospitalist
Experience10 Years
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lissette Jimenez graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1932631322
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 04/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507133279
  • Enrollment ID: I20200722001128

Medical Identifiers

Medical identifiers for Lissette Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932631322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301502123 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spectrum Health Primary Care Partners45875686471590

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. Lissette Jimenez allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameSparrow Ionia Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700820065
PECOS PAC ID: 0042118887
Enrollment ID: O20031230000664
Entity NameSparrow Eaton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043419427
PECOS PAC ID: 0042103509
Enrollment ID: O20040213000368
Entity NameSparrow Clinton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306893078
PECOS PAC ID: 5395658850
Enrollment ID: O20040301000072
Entity NameVituity - Michigan Hospitalists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487278156
PECOS PAC ID: 2365860996
Enrollment ID: O20200915000938

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. Lissette 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 AddressPractice Location Address
Lissette Jimenez, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Lissette Jimenez, MD
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 391-3139

Reviews and Comments


Internal Medicine Doctors in Grand Rapids, MI

Maureen U Tan- Pedres, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503
Phone: 616-391-3139    Fax: 616-391-3044
Jeffery Allen Woo, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506
Phone: 616-459-3158    Fax: 616-988-0071
Robert W Selfe, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503
Phone: 616-267-8950    Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503
Phone: 616-685-5600    
Dr. Andrew Leo Sochacki, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546
Phone: 616-389-1800    
Aline De Quadros Teixeira, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-3139    
Stephanie F Williams, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503
Phone: 616-486-5933    Fax: 616-486-6489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.