Imelda Lim, in San Diego, CA - Medicare Nurse Practitioner

Imelda Lim, is a medicare enrolled "Nurse Practitioner - Primary Care" in San Diego, California. Her current practice location is 5795 Radio Ct, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 942-4360.

Imelda Lim is licensed to practice in California (license number 95000203) 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 1093130395.

Contact Information

	Imelda Lim,
	5795 Radio Ct, San Diego, CA 92114-6572
	(619) 942-4360
	Not Available

Map and Direction

Provider's Profile

Full Name	Imelda Lim
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	5795 Radio Ct, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093130395
Provider Enumeration Date: 02/23/2014
Last Update Date: 04/03/2017

Medicare PECOS Information:

PECOS PAC ID: 4880971803
Enrollment ID: I20170501000634

Medical Identifiers

Medical identifiers for Imelda Lim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093130395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95000203 (California)	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. Imelda Lim allows following entities to bill medicare on her behalf.

Entity Name	Operation Samahan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275617169 PECOS PAC ID: 7911932645 Enrollment ID: O20051001000054

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. Imelda Lim 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
Imelda Lim, 2743 Highland Ave, National City, CA 91950-7410 Ph: (844) 200-2426	Imelda Lim, 5795 Radio Ct, San Diego, CA 92114-6572 Ph: (619) 942-4360

Reviews and Comments

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Imelda Lim, - Medicare Nurse Practitioner in San Diego, CA