Dr Jennifer K Lim, DDS is a medicare enrolled "Dentist" provider in Ajo, Arizona. She went to Loma Linda University School Of Dentistry and graduated in 2003 and has 23 years of diverse experience with area of expertise as Dentist. Her current practice location is
410 N Malacate St Bldg B, Desert Senita Dental Center, Ajo, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 387-4500.
Dr Jennifer K Lim is licensed to practice in Arizona (license number D5942) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245258748.
Healthcare Provider's Profile
| Full Name | Dr Jennifer K Lim |
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| Gender | Female |
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| Speciality | Dentist |
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| Experience | 23 Years |
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| Location | 410 N Malacate St Bldg B, Ajo, Arizona |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jennifer K Lim attended and graduated from Loma Linda University School Of Dentistry in 2003
NPI Data:
- NPI Number: 1245258748
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163919606
- Enrollment ID: I20251016004413
Medical Identifiers
Medical identifiers for Dr Jennifer K Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245258748 | NPI | - | NPPES |
| 910316 | Other | AZ | AHCCCS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | D5942 (Arizona) | Primary |
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. Dr Jennifer K Lim allows following entities to bill medicare on her behalf.
| Entity Name | Desert Senita Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114037496
PECOS PAC ID: 3476441866
Enrollment ID: O20040308000777 |
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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. Dr Jennifer K Lim 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 |
|---|
Dr Jennifer K Lim, DDS
410 Malacate St, Bldg B,
Ajo, AZ 85321
Ph: (520) 387-4500 | Dr Jennifer K Lim, DDS
410 N Malacate St Bldg B, Desert Senita Dental Center,
Ajo, AZ 85321-2254
Ph: (520) 387-4500 |
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