Omar G Jimenez, MD is a medicare enrolled "General Practice" physician in Belle Glade, Florida. His current practice location is
1200 S Main St Ste 200, Belle Glade, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 966-2024.
Omar G Jimenez is licensed to practice in Puerto Rico (license number 16527-I) 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 1881379253.
Physician's Profile
| Full Name | Omar G Jimenez |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1200 S Main St Ste 200, Belle Glade, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881379253
- Provider Enumeration Date: 06/21/2023
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123567476
- Enrollment ID: I20240829004412
Medical Identifiers
Medical identifiers for Omar G Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881379253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 16527-I (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. Omar G Jimenez allows following entities to bill medicare on his behalf.
| Entity Name | Conviva Medical Center Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
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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. Omar G 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 |
Omar G Jimenez, MD 12730 Peconic Ct, Wellington, FL 33414-5568 Ph: () - | Omar G Jimenez, MD 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 Ph: (561) 966-2024 |
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