Ms. Lissette Jimenez

M.D. | Pediatric Gastroenterology | Female

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Complete Profile:

Ms. Lissette Jimenez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Ms. Lissette Jimenez
Credential :	M.D.
Gender :	Female

Business Address:

Ms. Lissette Jimenez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	300 Longwood Ave Boston, MA, 02115 United States
Phone Number :	617-355-6000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1184980864
NPI Entity Type :	Individual
First Enrolment Date :	06 Apr, 2012
Last Updated On :	14 Jun, 2018

Medicare Participation:

Ms. Lissette Jimenez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305191917
Medicare Enrollment ID :	I20180622002102
Primary Specialty :	Gastroenterology
Medical School :	University Of Washington School Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Ms. Lissette Jimenez accepts medicare insurance.

Group Practice Association:

Ms. Lissette Jimenez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ms. Lissette Jimenez is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Pediatric Associates, Inc	3476541830	231	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Lissette Jimenez are as mentioned. Primary taxonomy code for Ms. Lissette Jimenez, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	ML60292804	WA
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	264920	MA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 Longwood Ave Boston, MA, 02115-5724 United States
Phone Number :	617-355-6000

Business Location:

Patients can refer following map for directions to Ms. Lissette Jimenez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.