Dr Alexis Jimenez, PSYD, LCP in Joliet, IL - Medicare Psychologist Provider

Dr Alexis Jimenez, PSYD, LCP is a medicare enrolled "Psychologist - Clinical" provider in Joliet, Illinois. Her current practice location is 621 Springwood Dr, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 680-2111.

Dr Alexis Jimenez is licensed to practice in Illinois (license number 071009726) 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 1699412155.

Contact Information

	Dr Alexis Jimenez, PSYD, LCP
	621 Springwood Dr, Joliet, IL 60431-8993
	(773) 680-2111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alexis Jimenez
Gender	Female
Speciality	Psychologist - Clinical
Location	621 Springwood Dr, Joliet, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699412155
Provider Enumeration Date: 05/17/2022
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 1355876939
Enrollment ID: I20241119002705

Medical Identifiers

Medical identifiers for Dr Alexis Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699412155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009726 (Illinois)	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. Dr Alexis Jimenez allows following entities to bill medicare on her behalf.

Entity Name	Baal Perazim Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215403530 PECOS PAC ID: 7618218587 Enrollment ID: O20190607000040

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 Alexis 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
Dr Alexis Jimenez, PSYD, LCP 621 Springwood Dr, Joliet, IL 60431-8993 Ph: (773) 680-2111	Dr Alexis Jimenez, PSYD, LCP 621 Springwood Dr, Joliet, IL 60431-8993 Ph: (773) 680-2111

Reviews and Comments

Psychologist in Joliet, IL

Laura Jackman, Psychologist Medicare: Medicare Enrolled Practice Location: 1415 Maple Rd, Joliet, IL 60432 Phone: 815-735-0732
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Rita Gray Ii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-5904 Fax: 815-727-0136
Shadequia Davis, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402 Richards St, Joliet, IL 60433 Phone: 815-727-5271
Eboni Caldwell, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196
Dr. Angela N Chastain, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521
Dr. Matthew Edward Skarbek, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 Springfield Ave, Joliet, IL 60435 Phone: 630-369-2889

Dr Alexis Jimenez, PSYD, LCP - Medicare Psychologist in Joliet, IL