Dr Caroline Jensen, DO | |
Fresno & R Street, Fresno, CA 93721-1365 | |
(559) 459-6000 | |
(559) 449-4358 |
Full Name | Dr Caroline Jensen |
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Gender | Female |
Speciality | Anesthesiology |
Location | Fresno & R Street, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215022009 | NPI | - | NPPES |
ZZZ71868Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS0013764 (Florida) | Secondary |
207L00000X | Anesthesiology | 20A9127 (California) | Primary |
Entity Name | The Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356362990 PECOS PAC ID: 1254234842 Enrollment ID: O20040130000443 |
Entity Name | Island Professional Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174159834 PECOS PAC ID: 7618307943 Enrollment ID: O20200428001247 |
Mailing Address | Practice Location Address |
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Dr Caroline Jensen, DO Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Dr Caroline Jensen, DO Fresno & R Street, Fresno, CA 93721-1365 Ph: (559) 459-6000 |
William B Etiz, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Yang J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
John S Sturman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Gregory Alan Smith, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5680 N Fresno St Ste 105, Fresno, CA 93710 Phone: 559-374-5130 Fax: 888-977-4918 | |
Rasheed Amireh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-447-1432 Fax: 559-432-2874 | |
Andre S Motie, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Dr. Timothy Hansen, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6235 N Fresno St, Suite # 103, Fresno, CA 93710 Phone: 559-449-4350 Fax: 559-449-4358 |