Kathleen Jensen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dededo, Guam. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Guam Healthcare Development Incorporated, Olympic Anesthesia Services, Inc and her current practice location is
133 Route 3, Dededo, Guam. You can reach out to her office (for appointments etc.) via phone at
(671) 645-5500.
Kathleen Jensen is licensed to practice in Washington (license number AP61217258) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851803845.
Provider's Profile
| Full Name | Kathleen Jensen |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 133 Route 3, Dededo, Guam |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathleen Jensen graduated from nursing school in 2017
NPI Data:
- NPI Number: 1851803845
- Provider Enumeration Date: 10/30/2017
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850653213
- Enrollment ID: I20180322001874
Medical Identifiers
Medical identifiers for Kathleen Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851803845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RE2391 (Guam) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 17-NP05 (Guam) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NP0177 (Guam) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP61217258 (Washington) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024178412 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Guam Healthcare Development Incorporated | 9234351776 | 129 |
| Olympic Anesthesia Services, Inc | 4587551064 | 33 |
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. Kathleen Jensen allows following entities to bill medicare on her behalf.
| Entity Name | Guam Healthcare Development Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326447939
PECOS PAC ID: 9234351776
Enrollment ID: O20150326000266 |
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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. Kathleen 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 |
|---|
Kathleen Jensen, CRNA
310 Ladera Ln Apt 1906,
Mangilao, GU 96913-5877
Ph: (671) 483-9743 | Kathleen Jensen, CRNA
133 Route 3,
Dededo, GU 96929-6911
Ph: (671) 645-5500 |
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