Kelania Jimenez, MD in Lake Elmo, MN - Medicare Psychiatry & Neurology

Kelania Jimenez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lake Elmo, Minnesota. Her current practice location is 8550 Hudson Blvd N, Lake Elmo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 371-5400.

Kelania Jimenez is licensed to practice in Minnesota (license number 80872) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902086069.

Contact Information

	Kelania Jimenez, MD
	8550 Hudson Blvd N, Lake Elmo, MN 55042-5500
	(612) 371-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelania Jimenez
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	8550 Hudson Blvd N, Lake Elmo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902086069
Provider Enumeration Date: 11/06/2007
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 4183168073
Enrollment ID: I20240702003901

Medical Identifiers

Medical identifiers for Kelania Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902086069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD61522340 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	80872 (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. Kelania Jimenez allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Kelania 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
Kelania Jimenez, MD Po Box 50095, Seattle, WA 98145-5095 Ph: () -	Kelania Jimenez, MD 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 Ph: (612) 371-5400

Reviews and Comments

Psychiatry & Neurology Doctors in Lake Elmo, MN

Dr. Kent Gregory Brockmann, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8673 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-209-9383 Fax: 651-209-9384
Cory Edward Sykora, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042 Phone: 612-879-1000 Fax: 612-879-9116
Amee Natvar Chandrabalan, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042 Phone: 612-879-1000 Fax: 612-879-9116
Justin Quilop Garcia, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580

Kelania Jimenez, MD - Medicare Psychiatry & Neurology in Lake Elmo, MN