Mona Lisa Jimenez, PMHNP-BC in Southlake, TX - Medicare Nurse Practitioner

Mona Lisa Jimenez, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southlake, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Progressive Behavioral Health, Pllc and her current practice location is 431 E State Highway 114 Fl 1, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Mona Lisa Jimenez is licensed to practice in Texas (license number AP146065) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043828544.

Contact Information

	Mona Lisa Jimenez, PMHNP-BC
	431 E State Highway 114 Fl 1, Southlake, TX 76092-4412
	(844) 824-8775
	Not Available

Map and Direction

Provider's Profile

Full Name	Mona Lisa Jimenez
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	431 E State Highway 114 Fl 1, Southlake, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mona Lisa Jimenez graduated from nursing school in 2020

NPI Data:

NPI Number: 1043828544
Provider Enumeration Date: 07/21/2020
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6709205214
Enrollment ID: I20220519000212

Medical Identifiers

Medical identifiers for Mona Lisa Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043828544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP146065 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Progressive Behavioral Health, Pllc	4486794906	153

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. Mona Lisa Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

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. Mona Lisa 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
Mona Lisa Jimenez, PMHNP-BC 1425 Greenway Dr, Irving, TX 75038-2447 Ph: (817) 751-7802	Mona Lisa Jimenez, PMHNP-BC 431 E State Highway 114 Fl 1, Southlake, TX 76092-4412 Ph: (844) 824-8775

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104

Mona Lisa Jimenez, PMHNP-BC - Medicare Nurse Practitioner in Southlake, TX