Mrs Ilmary De Los Angeles Jimenez, APRN in Pembroke Pines, FL

Mrs Ilmary De Los Angeles Jimenez, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Pembroke Pines, Florida. Her current practice location is 11460 Pines Blvd, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 500-2000.

Mrs Ilmary De Los Angeles Jimenez is licensed to practice in Florida (license number 11009371) 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 1780291526.

Contact Information

	Mrs Ilmary De Los Angeles Jimenez, APRN
	11460 Pines Blvd, Pembroke Pines, FL 33026-4128
	(305) 500-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ilmary De Los Angeles Jimenez
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	11460 Pines Blvd, Pembroke Pines, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780291526
Provider Enumeration Date: 09/25/2020
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 3678987542
Enrollment ID: I20210204001481

Medical Identifiers

Medical identifiers for Mrs Ilmary De Los Angeles Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780291526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	11009371 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	11009371 (Florida)	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. Mrs Ilmary De Los Angeles Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Mrs Ilmary De Los Angeles 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
Mrs Ilmary De Los Angeles Jimenez, APRN 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000	Mrs Ilmary De Los Angeles Jimenez, APRN 11460 Pines Blvd, Pembroke Pines, FL 33026-4128 Ph: (305) 500-2000

Reviews and Comments

Nurse Practitioner Nurses in Pembroke Pines, FL

Maria Antonieta Alfonso, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9050 Pines Blvd Ste 150, Pembroke Pines, FL 33024 Phone: 954-872-0555 Fax: 954-256-6047
Elizabeth Martin Boada, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 N University Dr # A, Pembroke Pines, FL 33024 Phone: 954-963-2151
Anup Desai, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 880 Sw 145th Ave Ste 202, Pembroke Pines, FL 33027 Phone: 866-849-0692
Mariam Melina Tosado, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17009 Pines Blvd, Pembroke Pines, FL 33027 Phone: 954-737-3158
Geo Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13841 Nw 23rd St, Pembroke Pines, FL 33028 Phone: 954-529-4593
Mrs. Tricia A Riddle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 Sw 145th Ave Ste 202, Pembroke Pines, FL 33027 Phone: 866-849-0692
Natalie Doyley-green, APRN, PMHNP-BC, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 Nw 150th Ave Ste 120, Pembroke Pines, FL 33028 Phone: 954-431-9838 Fax: 954-241-6726

Mrs Ilmary De Los Angeles Jimenez, APRN - Medicare Nurse Practitioner in Pembroke Pines, FL