Mrs Shannen Kaylee Jimenez, OTR/L in Tucson, AZ - Medicare Occupational Therapist Provider

Mrs Shannen Kaylee Jimenez, OTR/L is a medicare enrolled "Occupational Therapist - Hand" provider in Tucson, Arizona. Her current practice location is 2800 E Ajo Way Ste 200, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 462-0248.

Mrs Shannen Kaylee Jimenez is licensed to practice in Arizona (license number OTH-009224) 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 1508566886.

Contact Information

	Mrs Shannen Kaylee Jimenez, OTR/L
	2800 E Ajo Way Ste 200, Tucson, AZ 85713-6204
	(520) 462-0248
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannen Kaylee Jimenez
Gender	Female
Speciality	Occupational Therapist - Hand
Location	2800 E Ajo Way Ste 200, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508566886
Provider Enumeration Date: 03/06/2023
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6305210725
Enrollment ID: I20230324001788

Medical Identifiers

Medical identifiers for Mrs Shannen Kaylee Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508566886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-3185 (Nevada)	Secondary
225XH1200X	Occupational Therapist - Hand	OTH-009224 (Arizona)	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 Shannen Kaylee Jimenez allows following entities to bill medicare on her behalf.

Provider Name	Dignity Select Nevada Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710446281 PECOS PAC ID: 0941541155 Enrollment ID: O20190610002405

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 Shannen Kaylee 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 Shannen Kaylee Jimenez, OTR/L 2800 E Ajo Way Ste 200, Tucson, AZ 85713-6204 Ph: (520) 462-0248	Mrs Shannen Kaylee Jimenez, OTR/L 2800 E Ajo Way Ste 200, Tucson, AZ 85713-6204 Ph: (520) 462-0248

Reviews and Comments

Occupational Therapist in Tucson, AZ

Teresa Ramona Karjalainen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 E 10th St, Tucson, AZ 85719 Phone: 720-404-0816
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Mrs. Susan L. Johnson Lucht, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450
Danielle Marie Stradling, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 E 10th St, Tucson, AZ 85719 Phone: 916-220-0518
Graciela Contreras, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 E 10th St, Tucson, AZ 85719 Phone: 520-225-6000
Gail Abbey, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2500 N Rosemont Blvd, Tucson, AZ 85712 Phone: 520-325-4800

Mrs Shannen Kaylee Jimenez, OTR/L - Medicare Occupational Therapist in Tucson, AZ