Richard Jimenez, DMD in Othello, WA - Medicare Dentist Provider

Richard Jimenez, DMD is a medicare enrolled "Dentist" provider in Othello, Washington. His current practice location is 1515 E Columbia St, Othello, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 488-5256.

Richard Jimenez is licensed to practice in Washington (license number DE61161850) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467077891.

Contact Information

	Richard Jimenez, DMD
	1515 E Columbia St, Othello, WA 99344-1846
	(509) 488-5256
	(509) 488-9939

Map and Direction

Healthcare Provider's Profile

Full Name	Richard Jimenez
Gender	Male
Speciality	Dentist
Location	1515 E Columbia St, Othello, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467077891
Provider Enumeration Date: 06/11/2020
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7012319213
Enrollment ID: I20210712000004

Medical Identifiers

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

Identifier	Type	State	Issuer
1467077891	NPI	-	NPPES
2178856	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE61161850 (Washington)	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. Richard 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
Richard Jimenez, DMD 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256	Richard Jimenez, DMD 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256

Reviews and Comments

Dentist in Othello, WA

Heera Govindarajan Venguidesvarane, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Dr. Ji Hyung Choi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Steven Pitcher, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Manuel Jimenez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Alexander David Snyder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 435-862-0066
Dr. Brad E Sorenson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 E Main Street, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939
Dr. Christopher Ernest Dorow, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1355 E Hemlock St, Othello, WA 99344 Phone: 509-488-5216 Fax: 509-488-9496

Richard Jimenez, DMD - Medicare Dentist in Othello, WA