| Dr Guillermo Jimenez, MD | |
|
11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Dr Guillermo Jimenez |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154570984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 55328 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 55328 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Edgecumbe Hospital | Sitka, AK | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Abington Memorial Hospital | Abington, PA | Hospital |
| Overlook Medical Center | Summit, NJ | Hospital |
| Claiborne Memorial Medical Center | Homer, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Radiology Services Llc | 0345574026 | 17 |
| Southern Delaware Imaging Assoc | 0547159709 | 39 |
| Advanced Radiology Sc | 2365339207 | 36 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Atlantic Radiology Associates Llc | 5799706032 | 112 |
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
| Entity Name | Midstate Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578518999 PECOS PAC ID: 4880593565 Enrollment ID: O20031231000543 |
| Entity Name | Diagnostic Imaging Services Of Ct Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093760431 PECOS PAC ID: 3577465111 Enrollment ID: O20040123000288 |
| Entity Name | Meriden Imaging Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508812561 PECOS PAC ID: 4385683556 Enrollment ID: O20050427000621 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070918000515 |
| Entity Name | Vein Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639739634 PECOS PAC ID: 6800124801 Enrollment ID: O20190829001879 |
| Entity Name | Advanced Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790773539 PECOS PAC ID: 2365339207 Enrollment ID: O20231128001324 |
| Entity Name | North Mississippi Radiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184185092 PECOS PAC ID: 0345574026 Enrollment ID: O20240627001419 |
| Entity Name | Atlantic Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136080 PECOS PAC ID: 5799706032 Enrollment ID: O20240814003404 |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20240827001404 |
| Entity Name | Southern Delaware Imaging Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780780627 PECOS PAC ID: 0547159709 Enrollment ID: O20250110002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Guillermo Jimenez, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Dr Guillermo Jimenez, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 |
Norna L. Karp, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Trudy J Moore, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Priti Bachubhai Ram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Nathan J Groebner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Dr. Christopher James Macdonald, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |