Keith Andrew Jensen, CRNA | |
500 Sw Ramsey Ave, Grants Pass, OR 97527 | |
(541) 472-7000 | |
Not Available |
Full Name | Keith Andrew Jensen |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 500 Sw Ramsey Ave, Grants Pass, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447389556 | NPI | - | NPPES |
062005 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 780040202 (Oregon) | Primary |
Entity Name | Medical Eye Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609944347 PECOS PAC ID: 8325034804 Enrollment ID: O20040421000753 |
Entity Name | Rogue Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043248917 PECOS PAC ID: 9830162197 Enrollment ID: O20040816000274 |
Entity Name | Jensen Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770241853 PECOS PAC ID: 2567854359 Enrollment ID: O20220128001843 |
Mailing Address | Practice Location Address |
---|---|
Keith Andrew Jensen, CRNA 2620 East Barnett Rd, Suite H, Medford, OR 97504 Ph: (541) 789-5250 | Keith Andrew Jensen, CRNA 500 Sw Ramsey Ave, Grants Pass, OR 97527 Ph: (541) 472-7000 |
Thomas R Leblanc, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Scott W Rigdon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Matthew Allyn Fagert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Jamey L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-5110 Fax: 541-472-7268 | |
Mr. James R Ernest, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 208-336-0895 | |
Mr. Ronald Shenker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4884 |