Amber R Jimenez, MD in Salt Lake City, UT - Medicare Dermatology

Amber R Jimenez, MD is a medicare enrolled "Dermatology" physician in Salt Lake City, Utah. Her current practice location is 30 N 1900 E # 4a330, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (015) 816-4658.

Amber R Jimenez is licensed to practice in Utah (license number 13504632-1205) 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 1033850631.

Contact Information

	Amber R Jimenez, MD
	30 N 1900 E # 4a330, Salt Lake City, UT 84132-2632
	(015) 816-4658
	Not Available

Physician's Profile

Full Name	Amber R Jimenez
Gender	Female
Speciality	Dermatology
Location	30 N 1900 E # 4a330, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033850631
Provider Enumeration Date: 04/06/2022
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3476933045
Enrollment ID: I20220629002727

Medical Identifiers

Medical identifiers for Amber R Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033850631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	13504632-1205 (Utah)	Primary

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. Amber R 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
Amber R Jimenez, MD Helix: 30 N Mario Capecchi Rm 1s100, Salt Lake City, UT 84112 Ph: (801) 581-2121	Amber R Jimenez, MD 30 N 1900 E # 4a330, Salt Lake City, UT 84132-2632 Ph: (015) 816-4658

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Dermatology Doctors in Salt Lake City, UT

Caitlin Marie Bolender, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Medicare Enrolled Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600
Dr. Douglas L Powell, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2955
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955

Amber R Jimenez, MD - Medicare Dermatology in Salt Lake City, UT