Sophia Gabrielle Jimenez, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Austin, Texas. Her current practice location is
901 W Ben White Blvd, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(513) 377-3631.
Sophia Gabrielle Jimenez is licensed to practice in * (Not Available) (license number ) 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 1639757750.
Physician's Profile
| Full Name | Sophia Gabrielle Jimenez |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 901 W Ben White Blvd, Austin, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639757750
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 06/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365842903
- Enrollment ID: I20210617003011
Medical Identifiers
Medical identifiers for Sophia Gabrielle Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639757750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0129X | Surgery - Vascular Surgery | 036.180534 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Sophia Gabrielle 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 |
Sophia Gabrielle Jimenez, 901 W Ben White Blvd, Austin, TX 78704-6903 Ph: (513) 377-3631 | Sophia Gabrielle Jimenez, 901 W Ben White Blvd, Austin, TX 78704-6903 Ph: (513) 377-3631 |
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