Dr Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ

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Dr Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mind 247 Practice Llc and her current practice location is 825 W Osborn Rd Apt 4023, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (747) 999-7516.

Dr Jerica Elaine Miclat Lim is licensed to practice in Arizona (license number 257756) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043884026.

Contact Information

Dr Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP
825 W Osborn Rd Apt 4023,
Phoenix, AZ 85013-3674
(747) 999-7516
Not Available

Map and Direction




Provider's Profile

Full NameDr Jerica Elaine Miclat Lim
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location825 W Osborn Rd Apt 4023, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerica Elaine Miclat Lim graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1043884026
  • Provider Enumeration Date: 05/14/2021
  • Last Update Date: 05/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618379447
  • Enrollment ID: I20210715001933

Medical Identifiers

Medical identifiers for Dr Jerica Elaine Miclat Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043884026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 257756 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mind 247 Practice Llc640625354125

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 Jerica Elaine Miclat Lim allows following entities to bill medicare on her behalf.
Entity NameSouthwest Behavioral Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144384389
PECOS PAC ID: 9739075854
Enrollment ID: O20040225000948
Entity NameDr Gregory Carr Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386041861
PECOS PAC ID: 3072828607
Enrollment ID: O20150812006188
Entity NameMind 247 Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902472467
PECOS PAC ID: 6406253541
Enrollment ID: O20210916001566

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 Jerica Elaine Miclat Lim 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 AddressPractice Location Address
Dr Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP
825 W Osborn Rd Apt 4023,
Phoenix, AZ 85013-3674

Ph: (747) 999-7516		Dr Jerica Elaine Miclat Lim, DNP, MN, BSN, PMHNP
825 W Osborn Rd Apt 4023,
Phoenix, AZ 85013-3674

Ph: (747) 999-7516

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.