Brent William Jensen, MD | |
3213 Stein Blvd, Eau Claire, WI 54701-6946 | |
(715) 830-0732 | |
(715) 830-5487 |
Full Name | Brent William Jensen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3213 Stein Blvd, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609812981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 51432-020 (Wisconsin) | Secondary |
208000000X | Pediatrics | 51432 (Wisconsin) | Primary |
Entity Name | Oakleaf Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679870315 PECOS PAC ID: 4486831328 Enrollment ID: O20110602000195 |
Mailing Address | Practice Location Address |
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Brent William Jensen, MD 719 W. Hamilton Ave., Ste. B, Eau Claire, WI 54701-6970 Ph: (715) 552-9784 | Brent William Jensen, MD 3213 Stein Blvd, Eau Claire, WI 54701-6946 Ph: (715) 830-0732 |
Camilla Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John J Plewa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Uday Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Spoorthi Jagadish, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Chetna Mangat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Naghma Husain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John P Layde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 |