Jose Manuel Jimenez Vega, MD in Woodbury, MN

Jose Manuel Jimenez Vega, MD is a medicare enrolled "Pediatrics" physician in Woodbury, Minnesota. His current practice location is 9680 Tamarack Rd Ste 130, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 265-7575.

Jose Manuel Jimenez Vega is licensed to practice in Minnesota (license number 72204) 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 1619208980.

Contact Information

	Jose Manuel Jimenez Vega, MD
	9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623
	(651) 265-7575
	(651) 265-7580

Map and Direction

Physician's Profile

Full Name	Jose Manuel Jimenez Vega
Gender	Male
Speciality	Pediatrics
Location	9680 Tamarack Rd Ste 130, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619208980
Provider Enumeration Date: 01/26/2010
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2769785336
Enrollment ID: I20160115000034

Medical Identifiers

Medical identifiers for Jose Manuel Jimenez Vega such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619208980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	4301108745 (Michigan)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	70530 (Minnesota)	Secondary
208000000X	Pediatrics	72204 (Minnesota)	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. Jose Manuel Jimenez Vega allows following entities to bill medicare on his behalf.

Entity Name	Western Michigan University School Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243

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. Jose Manuel Jimenez Vega 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
Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: () -	Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: (651) 265-7575

Reviews and Comments

Pediatrics Doctors in Woodbury, MN

Dr. Bridgette Marie Suri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300
Alicia Marie Osterman Kemp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305
Michele L Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 Fax: 651-232-6711
Chelsey Prall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305
Sara K Sweetser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7803 Afton Rd, Woodbury, MN 55125 Phone: 651-738-0470 Fax: 651-738-8915
Dr. Jennifer M.h. Mccormack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305
Margaret Kelly Tierney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 Phone: 651-738-0470

Jose Manuel Jimenez Vega, MD - Medicare Pediatrics in Woodbury, MN