Mrs Damisela Amador Jimenez, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Plantation, Florida. Her current practice location is
180 Sw 84th Ave Ste B, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 945-3510.
Mrs Damisela Amador Jimenez is licensed to practice in Florida (license number ARNP9393735) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124527734.
Physician's Profile
| Full Name | Mrs Damisela Amador Jimenez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 180 Sw 84th Ave Ste B, Plantation, Florida |
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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: 1124527734
- Provider Enumeration Date: 02/09/2018
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092053850
- Enrollment ID: I20190221000039
Medical Identifiers
Medical identifiers for Mrs Damisela Amador Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124527734 | NPI | - | NPPES |
| ARNP9393735 | Other | FL | DOH LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ARNP9393735 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9393735 (Florida) | 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. Mrs Damisela Amador Jimenez allows following entities to bill medicare on her behalf.
| Entity Name | Therapy Medical Rehabilitation Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831435767
PECOS PAC ID: 5698082113
Enrollment ID: O20150916001508 |
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| Entity Name | Advance Mdcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831640861
PECOS PAC ID: 5890034011
Enrollment ID: O20190306001949 |
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| Entity Name | Pine Island Medical Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275184855
PECOS PAC ID: 4082035035
Enrollment ID: O20240105001224 |
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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. Mrs Damisela Amador 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 |
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Mrs Damisela Amador Jimenez, ARNP
10550 Nw 77th Ct, Ste 308,
Hialeah Gardens, FL 33016-2072
Ph: (305) 300-0791 | Mrs Damisela Amador Jimenez, ARNP
180 Sw 84th Ave Ste B,
Plantation, FL 33324-2731
Ph: (954) 945-3510 |
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