Colton Jensen, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-5000.
Colton Jensen is licensed to practice in * (Not Available) (license number ) 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 1639706732.
Physician's Profile
Full Name | Colton Jensen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 600 N Wolfe St, Baltimore, Maryland |
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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: 1639706732
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658792882
- Enrollment ID: I20230530000337
Medical Identifiers
Medical identifiers for Colton Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639706732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 042.0016923 (Vermont) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Colton Jensen allows following entities to bill medicare on his behalf.
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
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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. Colton 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 |
Colton Jensen, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Colton Jensen, 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-5000 |
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