Dr Juan C Jimenez, MD is a medicare enrolled "Neurological Surgery" physician in Kankakee, Illinois. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Riverside Health System and his current practice location is
400 N Wall St, Suite 402, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 932-7200.
Dr Juan C Jimenez is licensed to practice in Illinois (license number 036103254) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801992516.
Physician's Profile
| Full Name | Dr Juan C Jimenez |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 29 Years |
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| Location | 400 N Wall St, Kankakee, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Juan C Jimenez graduated from medical school in 1996
NPI Data:
- NPI Number: 1801992516
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365466000
- Enrollment ID: I20060120000164
Medical Identifiers
Medical identifiers for Dr Juan C Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801992516 | NPI | - | NPPES |
| 36103254 | Medicaid | IL | |
| 4632039 | Other | IL | BC GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 036103254 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Riverside Health System | 3274434717 | 157 |
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 Juan C Jimenez allows following entities to bill medicare on his behalf.
| Entity Name | Riverside Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
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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 Juan C 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 |
Dr Juan C Jimenez, MD 400 N Wall St, Suite 402, Kankakee, IL 60901-2940 Ph: (815) 932-7200 | Dr Juan C Jimenez, MD 400 N Wall St, Suite 402, Kankakee, IL 60901-2940 Ph: (815) 932-7200 |
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