Dr Michael Edward Jensen, MD is a medicare enrolled "Surgery" physician in Harrington Park, New Jersey. His current practice location is
224 Florence Rd, Harrington Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(917) 930-0413.
Dr Michael Edward Jensen is licensed to practice in New Jersey (license number 25MA08565900) 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 1902048978.
Physician's Profile
| Full Name | Dr Michael Edward Jensen |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 224 Florence Rd, Harrington Park, New Jersey |
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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: 1902048978
- Provider Enumeration Date: 04/06/2009
- Last Update Date: 06/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 7416002126
- Enrollment ID: I20090902000174
Medical Identifiers
Medical identifiers for Dr Michael Edward Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902048978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 251817 (New York) | Secondary |
| 208600000X | Surgery | 25MA08565900 (New Jersey) | 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 Michael Edward Jensen allows following entities to bill medicare on his behalf.
| Entity Name | Kane Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275869802
PECOS PAC ID: 2567591274
Enrollment ID: O20100518000684 |
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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 Michael Edward 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 Michael Edward Jensen, MD
224 Florence Rd,
Harrington Park, NJ 07640-1410
Ph: (917) 930-0413 | Dr Michael Edward Jensen, MD
224 Florence Rd,
Harrington Park, NJ 07640-1410
Ph: (917) 930-0413 |
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