Dane Bruce Jensen, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in New Richmond, Wisconsin. His current practice location is
535 Hospital Rd, New Richmond, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 243-3400.
Dane Bruce Jensen is licensed to practice in Wisconsin (license number 74409-20) 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 1790164770.
Physician's Profile
| Full Name | Dane Bruce Jensen |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 535 Hospital Rd, New Richmond, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790164770
- Provider Enumeration Date: 05/24/2015
- Last Update Date: 02/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183930704
- Enrollment ID: I20210211001399
Medical Identifiers
Medical identifiers for Dane Bruce Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790164770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 62049 (Minnesota) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 74409-20 (Wisconsin) | 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. Dane Bruce Jensen allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031223000493 |
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| Entity Name | Westfields Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350 |
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| Entity Name | Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619355351
PECOS PAC ID: 8729072418
Enrollment ID: O20150814013380 |
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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. Dane Bruce 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 |
|---|
Dane Bruce Jensen, MD
2119 Heights Dr,
Eau Claire, WI 54701-6130
Ph: (715) 717-5899 | Dane Bruce Jensen, MD
535 Hospital Rd,
New Richmond, WI 54017-1449
Ph: (715) 243-3400 |
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