| Denis Jimenez, MD | |
|
1110 Columbine Dr, Holton, KS 66436-8824 | |
| (785) 364-2116 | |
| (785) 364-9612 |
| Full Name | Denis Jimenez |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1110 Columbine Dr, Holton, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487175063 | NPI | - | NPPES |
| LL51207 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LL51207 (South Carolina) | Secondary |
| 208600000X | Surgery | 046648 (Kansas) | Primary |
| Entity Name | Rural Health Resources Of Jackson Co Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235238296 PECOS PAC ID: 7810807690 Enrollment ID: O20031111000573 |
| Entity Name | Cotton O'neil Clinic Revocable Trust |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944457 PECOS PAC ID: 5496659195 Enrollment ID: O20031124000674 |
| Entity Name | Great Plains Of Sabetha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568491033 PECOS PAC ID: 5698676146 Enrollment ID: O20041215000613 |
| Entity Name | Nemaha Valley Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336128644 PECOS PAC ID: 2668383472 Enrollment ID: O20050228000745 |
| Entity Name | Great Plains Of Sabetha Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306875745 PECOS PAC ID: 5698676146 Enrollment ID: O20061104000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Denis Jimenez, MD 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-2116 | Denis Jimenez, MD 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-2116 |