Licci Jaimes, PSYD in Mcminnville, OR - Medicare Psychologist Provider

Licci Jaimes, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mcminnville, Oregon. Her current practice location is 115 Ne May Ln, Mcminnville, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 472-1338.

Licci Jaimes is licensed to practice in Oregon (license number 3095) 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 1417473992.

Contact Information

	Licci Jaimes, PSYD
	115 Ne May Ln, Mcminnville, OR 97128-9272
	(503) 472-1338
	(503) 434-8597

Map and Direction

Healthcare Provider's Profile

Full Name	Licci Jaimes
Gender	Female
Speciality	Psychologist - Clinical
Location	115 Ne May Ln, Mcminnville, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417473992
Provider Enumeration Date: 08/16/2017
Last Update Date: 01/03/2020

Medicare PECOS Information:

PECOS PAC ID: 2365879558
Enrollment ID: I20200228000340

Medical Identifiers

Medical identifiers for Licci Jaimes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417473992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3095 (Oregon)	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. Licci Jaimes allows following entities to bill medicare on her behalf.

Entity Name	Virginia Garcia Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992

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. Licci Jaimes 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
Licci Jaimes, PSYD Po Box 6149, Aloha, OR 97007-0149 Ph: (503) 352-8657	Licci Jaimes, PSYD 115 Ne May Ln, Mcminnville, OR 97128-9272 Ph: (503) 472-1338

Reviews and Comments

Psychologist in Mcminnville, OR

Natasha Wong, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1271 Ne Highway 99w # 169, Mcminnville, OR 97128 Phone: 503-560-9828 Fax: 503-215-8556
Martin Ray Robison, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290
Dr. Kristie Schmidlkofer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 424 Se 4th St, Unit #1, Studio 3, Mcminnville, OR 97128 Phone: 503-210-5214
Nancy Nelson, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1945 N Baker St, Mcminnville, OR 97128 Phone: 971-267-0036 Fax: 503-883-9086
Dr. Joshua T Payton, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 Nw 8th St, Mcminnville, OR 97128 Phone: 971-237-2424
Dr. Scott Alan Senn, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 235 E 3rd St Ste 4, Mcminnville, OR 97128 Phone: 971-506-5386

Licci Jaimes, PSYD - Medicare Psychologist in Mcminnville, OR