Liza M Rodriguez Jimenez, MD | |
500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | |
(541) 472-7000 | |
Not Available |
Full Name | Liza M Rodriguez Jimenez |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 25 Years |
Location | 500 Sw Ramsey Ave, Grants Pass, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346222049 | NPI | - | NPPES |
1011459180001 | Medicaid | PA | |
1011459180002 | Medicaid | PA | |
2347693000 | Other | PA | BLUECROSS BLUESHIELD |
1011459180003 | Medicaid | PA | |
1672808 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD425323 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | M-11300 (Idaho) | Secondary |
208M00000X | Hospitalist | PT12611 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Salem Hospital | Salem, OR | Hospital |
Great River Medical Center | West burlington, IA | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Asante Physician Partners | 8325206246 | 244 |
Salem Health | 8628986668 | 393 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Liza M Rodriguez Jimenez, MD 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (267) 971-6333 | Liza M Rodriguez Jimenez, MD 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 Ph: (541) 472-7000 |
Dr. Henry Ssentongo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 |