David Ali Jimenez, in Portland, OR - Medicare Nurse Practitioner

David Ali Jimenez, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 12121 E Burnside St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 361-7700.

David Ali Jimenez is licensed to practice in Oregon (license number 10013999) 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 1770197071.

Contact Information

	David Ali Jimenez,
	12121 E Burnside St, Portland, OR 97216-3737
	(971) 361-7700
	Not Available

Map and Direction

Provider's Profile

Full Name	David Ali Jimenez
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12121 E Burnside St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770197071
Provider Enumeration Date: 09/03/2020
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6305200445
Enrollment ID: I20230907004519

Medical Identifiers

Medical identifiers for David Ali Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770197071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201909027RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10013999 (Oregon)	Primary

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. David Ali 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
David Ali Jimenez, 232 Nw 6th Ave, Portland, OR 97209-3609 Ph: (503) 294-1681	David Ali Jimenez, 12121 E Burnside St, Portland, OR 97216-3737 Ph: (971) 361-7700

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

David Ali Jimenez, - Medicare Nurse Practitioner in Portland, OR