Dr Jennifer Sue Jenson, MD is a medicare enrolled "Pediatrics" physician in Fort Dodge, Iowa. Her current practice location is
804 Kenyon Rd Ste D, Fort Dodge, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 574-6855.
Dr Jennifer Sue Jenson is licensed to practice in Iowa (license number 40574) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508963729.
Physician's Profile
| Full Name | Dr Jennifer Sue Jenson |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 804 Kenyon Rd Ste D, Fort Dodge, Iowa |
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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: 1508963729
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244253227
- Enrollment ID: I20121112000025
Medical Identifiers
Medical identifiers for Dr Jennifer Sue Jenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508963729 | NPI | - | NPPES |
| 4707711013 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 22826 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 40574 (Iowa) | 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 Jennifer Sue Jenson allows following entities to bill medicare on her behalf.
| Entity Name | Trinity Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073594156
PECOS PAC ID: 7315858529
Enrollment ID: O20031204000921 |
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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 Jennifer Sue Jenson 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 Jennifer Sue Jenson, MD
804 Kenyon Rd Ste D,
Fort Dodge, IA 50501-5744
Ph: (515) 574-6855 | Dr Jennifer Sue Jenson, MD
804 Kenyon Rd Ste D,
Fort Dodge, IA 50501-5744
Ph: (515) 574-6855 |
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