Dr Shane D Jensen, MD in Fort Sam Houston, TX

Dr Shane D Jensen, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 539-9582.

Dr Shane D Jensen is licensed to practice in Texas (license number Q4994) 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 1164585154.

Contact Information

	Dr Shane D Jensen, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 539-9582
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane D Jensen
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164585154
Provider Enumeration Date: 12/19/2006
Last Update Date: 06/25/2020

Medicare PECOS Information:

PECOS PAC ID: 6901116169
Enrollment ID: I20151030001845

Medical Identifiers

Medical identifiers for Dr Shane D Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164585154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	0101262983 (Virginia)	Secondary
2086S0127X	Surgery - Trauma Surgery	Q4994 (Texas)	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 Shane D Jensen allows following entities to bill medicare on his behalf.

Entity Name	Ut Physicians - Trauma Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588965131 PECOS PAC ID: 7618150491 Enrollment ID: O20110401000175

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 Shane D 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 Shane D Jensen, MD Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 451-6266	Dr Shane D Jensen, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582

Reviews and Comments

Surgery Doctors in Fort Sam Houston, TX

Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Candace Ward, MD, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393
Dr. Jamie Rand, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582

Dr Shane D Jensen, MD - Medicare Surgery in Fort Sam Houston, TX