Dr Hernan John Jimenez-medina, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Henderson, North Carolina. His current practice location is
568 Ruin Creek Rd, Suite 128, Henderson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 436-1380.
Dr Hernan John Jimenez-medina is licensed to practice in North Dakota (license number 2007-00878) 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 1285630301.
Physician's Profile
| Full Name | Dr Hernan John Jimenez-medina |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 568 Ruin Creek Rd, Henderson, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285630301
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 07/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759461924
- Enrollment ID: I20071231000503
Medical Identifiers
Medical identifiers for Dr Hernan John Jimenez-medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285630301 | NPI | - | NPPES |
| 0184009 | Medicaid | OH | |
| 1417179730 | Other | OH | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 2007-00878 (North Dakota) | 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 Hernan John Jimenez-medina allows following entities to bill medicare on his behalf.
| Entity Name | Dlp Maria Parham Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215273628
PECOS PAC ID: 7719153683
Enrollment ID: O20111222000550 |
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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 Hernan John Jimenez-medina 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 Hernan John Jimenez-medina, MD
568 Ruin Creek Rd, Suite 128,
Henderson, NC 27536-2880
Ph: (252) 436-1380 | Dr Hernan John Jimenez-medina, MD
568 Ruin Creek Rd, Suite 128,
Henderson, NC 27536-2880
Ph: (252) 436-1380 |
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