Ms Lissette Jimenez, MD | |
300 Longwood Ave, Boston, MA 02115-5724 | |
(617) 355-6000 | |
Not Available |
Full Name | Ms Lissette Jimenez |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 12 Years |
Location | 300 Longwood Ave, Boston, Massachusetts |
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 |
---|---|---|---|
1184980864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ML60292804 (Washington) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 264920 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boston Children's Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Hospital Pediatric Associates, Inc | 3476541830 | 238 |
Entity Name | Children's Hospital Pediatric Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
---|---|
Ms Lissette Jimenez, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Ms Lissette Jimenez, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |