Dorian Louis Jimenez, DPM | |
1940 Hwy 114 Suite 150, Southlake, TX 76092 | |
(817) 424-3668 | |
(817) 442-8637 |
Full Name | Dorian Louis Jimenez |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 22 Years |
Location | 1940 Hwy 114 Suite 150, Southlake, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952397119 | NPI | - | NPPES |
582964905A | Medicaid | GA | |
P00427172 | Other | GA | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD000998 (Georgia) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 000998 (Georgia) | Secondary |
213E00000X | Podiatrist | 2397 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Walton Hospital | Monroe, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ankle And Foot Centers Of Georgia, Llc | 8022295294 | 46 |
Provider Name | Ankle And Foot Centers Of Georgia, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992003479 PECOS PAC ID: 8022295294 Enrollment ID: O20110616000039 |
Mailing Address | Practice Location Address |
---|---|
Dorian Louis Jimenez, DPM 1940 Hwy 114 Suite 150, Southlake, TX 76092-3084 Ph: (817) 424-3668 | Dorian Louis Jimenez, DPM 1940 Hwy 114 Suite 150, Southlake, TX 76092 Ph: (817) 424-3668 |
Academy Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Dr. Greg Jack Amelung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E Highway 114 Ste 150, Southlake, TX 76092 Phone: 817-503-0009 Fax: 817-503-8909 | |
Paul Thomas Marciano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Charleen Marie Handzel, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Suite 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Southlake Family Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Ste 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Brady Mallory, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1940 East Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 |