Jeanne Diane Kimura, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Costa Mesa, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Kima-w Medical Center and her current practice location is
370 Avocado St Apt 7, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at
(714) 469-6700.
Jeanne Diane Kimura is licensed to practice in California (license number PSY33292) 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 1205139268.
Healthcare Provider's Profile
| Full Name | Jeanne Diane Kimura |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 370 Avocado St Apt 7, Costa Mesa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeanne Diane Kimura graduated from medical school in 2015
NPI Data:
- NPI Number: 1205139268
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890175988
- Enrollment ID: I20220707000879
Medical Identifiers
Medical identifiers for Jeanne Diane Kimura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205139268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY33292 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kima-w Medical Center | 5496740698 | 17 |
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. Jeanne Diane Kimura 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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Jeanne Diane Kimura, PSYD
370 Avocado St Apt 7,
Costa Mesa, CA 92627-1671
Ph: (714) 469-6700 | Jeanne Diane Kimura, PSYD
370 Avocado St Apt 7,
Costa Mesa, CA 92627-1671
Ph: (714) 469-6700 |
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