Dr Chad Michael Jensen, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Elko, Nevada. His current practice location is
2219 N 5th St, Elko, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 777-9669.
Dr Chad Michael Jensen is licensed to practice in Nevada (license number DO3160) 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 1164951778.
Physician's Profile
| Full Name | Dr Chad Michael Jensen |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 2219 N 5th St, Elko, Nevada |
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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: 1164951778
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395015929
- Enrollment ID: I20220718000815
Medical Identifiers
Medical identifiers for Dr Chad Michael Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164951778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | R-10932 (Iowa) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | DO3160 (Nevada) | 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. Dr Chad Michael Jensen allows following entities to bill medicare on his behalf.
| Entity Name | James J Lynch M D Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285649608
PECOS PAC ID: 9133188626
Enrollment ID: O20041008001262 |
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| Entity Name | Robert G Berry Jr Elko Chartered Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386986206
PECOS PAC ID: 0446573380
Enrollment ID: O20141229000181 |
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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. Dr Chad Michael 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 |
|---|
Dr Chad Michael Jensen, DO
2219 N 5th St,
Elko, NV 89801-2483
Ph: (775) 777-9669 | Dr Chad Michael Jensen, DO
2219 N 5th St,
Elko, NV 89801-2483
Ph: (775) 777-9669 |
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