Blaine S Jensen, PA-C is a medicare enrolled "Physician Assistant" in Superior, Arizona. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cobre Valley Regional Medical Center and his current practice location is
1134 W Hwy 60, Superior, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 689-2423.
Blaine S Jensen is licensed to practice in Arizona (license number 2322) 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 1023129996.
Provider's Profile
| Full Name | Blaine S Jensen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 1134 W Hwy 60, Superior, Arizona |
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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. |
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Medical Education and Training:
- Blaine S Jensen graduated from nursing school in 1996
NPI Data:
- NPI Number: 1023129996
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183616584
- Enrollment ID: I20040402000821
Medical Identifiers
Medical identifiers for Blaine S Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023129996 | NPI | - | NPPES |
| 507147 | Medicaid | AZ | |
| Z69075 | Other | AZ | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2322 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cobre Valley Regional Medical Center | 0648181693 | 31 |
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. Blaine S 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 |
|---|
Blaine S Jensen, PA-C
1134 W Hwy 60,
Superior, AZ 85173-2647
Ph: (520) 689-2423 | Blaine S Jensen, PA-C
1134 W Hwy 60,
Superior, AZ 85273-2647
Ph: (520) 689-2423 |
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