Maximillion Jensen, DDS is a medicare enrolled "Dentist" provider in Barrow, California. His current practice location is
7000 Uula St, Barrow, California. You can reach out to his office (for appointments etc.) via phone at
(907) 852-9221.
Maximillion Jensen is licensed to practice in California (license number 65015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205203627.
Healthcare Provider's Profile
Full Name | Maximillion Jensen |
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Gender | Male |
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Speciality | Dentist |
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Location | 7000 Uula St, Barrow, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205203627
- Provider Enumeration Date: 09/02/2015
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204193782
- Enrollment ID: I20171208001931
Medical Identifiers
Medical identifiers for Maximillion Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205203627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 65015 (California) | 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. Maximillion Jensen 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 |
Maximillion Jensen, DDS 1296 Agvik Street, Apt 18, Barrow, AK 99723 Ph: (505) 270-3987 | Maximillion Jensen, DDS 7000 Uula St, Barrow, CA 99723 Ph: (907) 852-9221 |
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