| Angely Jimenez, | |
|
300 University Blvd, Round Rock, TX 78665-1032 | |
| (512) 509-0100 | |
| Not Available |
| Full Name | Angely Jimenez |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 300 University Blvd, Round Rock, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326532326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 26803418 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| St David's South Austin Medical Center | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Anesthesiology Group Pllc | 0547256497 | 430 |
| Independent Physicians Network Pllc | 5496029407 | 218 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Austin Anesthesiology Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Independent Physicians Network PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
| Mailing Address | Practice Location Address |
|---|---|
| Angely Jimenez, Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Angely Jimenez, 300 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0100 |
Marcel Albert Graf, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |
Aneesa Patel, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |
Daniel Chen, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |
Cassidy Mottola, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |
Lauren Prendeville, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |
Timothy James Goodridge, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-218-6330 |
Haley Conn, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |