Mark H Jensen, MD is a medicare enrolled "Plastic Surgery" physician in American Fork, Utah. He went to Mayo Medical School and graduated in 2003 and has 21 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Utah Surgical Associates Inc and his current practice location is
1248 E 90 N Ste 103, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 852-9560.
Mark H Jensen is licensed to practice in Utah (license number 7903019-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184602351.
Physician's Profile
Full Name | Mark H Jensen |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 21 Years |
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Location | 1248 E 90 N Ste 103, American Fork, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mark H Jensen attended and graduated from Mayo Medical School in 2003
NPI Data:
- NPI Number: 1184602351
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 06/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486684495
- Enrollment ID: I20110705000064
Medical Identifiers
Medical identifiers for Mark H Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184602351 | NPI | - | NPPES |
34841700 | Medicaid | WI | |
ENROLLED | Medicaid | IA | |
425475900 | Medicaid | MN | |
P00746335 | Other | MN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 47680 (Minnesota) | Secondary |
208600000X | Surgery | 47680 (Minnesota) | Secondary |
208600000X | Surgery | 7903019-1205 (Utah) | Secondary |
208200000X | Plastic Surgery | 7903019-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Utah Surgical Associates Inc | 4486686698 | 44 |
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. Mark H Jensen allows following entities to bill medicare on his behalf.
Entity Name | Utah Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851450720 PECOS PAC ID: 4486686698 Enrollment ID: O20050908000912 |
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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. Mark H 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 |
Mark H Jensen, MD 3550 N University Ave Ste 250, Provo, UT 84604-6695 Ph: (801) 374-9625 | Mark H Jensen, MD 1248 E 90 N Ste 103, American Fork, UT 84003-2954 Ph: (801) 852-9560 |
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