Lila Rose Jensen, CNM is a medicare enrolled "Midwife" in Dayton, Ohio. Her current practice location is
1 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 208-2007.
Lila Rose Jensen is licensed to practice in Ohio (license number APRN.CNM.019323) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477062826.
Provider's Profile
| Full Name | Lila Rose Jensen |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 1 Wyoming St, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477062826
- Provider Enumeration Date: 09/28/2017
- Last Update Date: 09/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567721335
- Enrollment ID: I20180124001854
Medical Identifiers
Medical identifiers for Lila Rose Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477062826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.412779 (Ohio) | Secondary |
| 176B00000X | Midwife | APRN.CNM.019323 (Ohio) | 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. Lila Rose Jensen allows following entities to bill medicare on her behalf.
| Entity Name | Five Rivers Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104115823
PECOS PAC ID: 9335300904
Enrollment ID: O20120409000638 |
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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. Lila Rose 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 |
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Lila Rose Jensen, CNM
1 Wyoming St Fl 1,
Dayton, OH 45409-2722
Ph: () - | Lila Rose Jensen, CNM
1 Wyoming St,
Dayton, OH 45409-2722
Ph: (937) 208-2007 |
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