Kaelynn Dianne Jaime, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jurupa Valley, California. Her current practice location is
4234 Hidatsa St, Jurupa Valley, California. You can reach out to her office (for appointments etc.) via phone at
(951) 858-7484.
Kaelynn Dianne Jaime is licensed to practice in California (license number 95028842) 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 1831956739.
Provider's Profile
| Full Name | Kaelynn Dianne Jaime |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4234 Hidatsa St, Jurupa Valley, California |
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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: 1831956739
- Provider Enumeration Date: 03/06/2024
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890237135
- Enrollment ID: I20240603001128
Medical Identifiers
Medical identifiers for Kaelynn Dianne Jaime such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831956739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95028842 (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. Kaelynn Dianne Jaime allows following entities to bill medicare on her behalf.
| Entity Name | Central Health Plan Of California, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386714772
PECOS PAC ID: 7416395736
Enrollment ID: O20240405001559 |
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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. Kaelynn Dianne Jaime 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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Kaelynn Dianne Jaime, FNP-C
4234 Hidatsa St,
Jurupa Valley, CA 92509-6874
Ph: (951) 858-7484 | Kaelynn Dianne Jaime, FNP-C
4234 Hidatsa St,
Jurupa Valley, CA 92509-6874
Ph: (951) 858-7484 |
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