Ms Marissa L Jimenez, PA -C is a medicare enrolled "Physician Assistant" in Wallkill, New York. Her current practice location is
24 Old Fire House Rd, Wallkill, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 393-6015.
Ms Marissa L Jimenez is licensed to practice in New York (license number 023906) 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 1467014472.
Provider's Profile
| Full Name | Ms Marissa L Jimenez |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 24 Old Fire House Rd, Wallkill, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1467014472
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153653928
- Enrollment ID: I20191028002108
Medical Identifiers
Medical identifiers for Ms Marissa L Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467014472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 023906 (New York) | 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. Ms Marissa L 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 |
|---|
Ms Marissa L Jimenez, PA -C
2570 Route 9w Ste 10,
Cornwall, NY 12518-1370
Ph: (845) 220-3100 | Ms Marissa L Jimenez, PA -C
24 Old Fire House Rd,
Wallkill, NY 12589-4600
Ph: (845) 393-6015 |
Reviews and Comments