Erica Jimenez, LMFT in Eastvale, CA - Medicare Marriage & Family Therapist Provider

Erica Jimenez, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Eastvale, California. Her current practice location is 8575 Shinkle Dr, Eastvale, California. You can reach out to her office (for appointments etc.) via phone at (510) 846-9846.

Erica Jimenez is licensed to practice in California (license number 50517) 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 1073709580.

Contact Information

	Erica Jimenez, LMFT
	8575 Shinkle Dr, Eastvale, CA 92880-3752
	(510) 846-9846
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Jimenez
Gender	Female
Speciality	Marriage & Family Therapist
Location	8575 Shinkle Dr, Eastvale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073709580
Provider Enumeration Date: 09/18/2007
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 0941745228
Enrollment ID: I20240710004791

Medical Identifiers

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

Identifier	Type	State	Issuer
1073709580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	50517 (California)	Primary
106H00000X	Marriage & Family Therapist	54084 (California)	Secondary

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. Erica Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Erica 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
Erica Jimenez, LMFT 8575 Shinkle Dr, Eastvale, CA 92880-3752 Ph: (510) 846-9846	Erica Jimenez, LMFT 8575 Shinkle Dr, Eastvale, CA 92880-3752 Ph: (510) 846-9846

Reviews and Comments

Marriage & Family Therapist in Eastvale, CA

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Erica Jimenez, LMFT - Medicare Couples Therapy in Eastvale, CA