Lisa Jensen, CNM in San Leandro, CA - Medicare Advanced Practice Midwife

Lisa Jensen, CNM is a medicare enrolled "Advanced Practice Midwife" in San Leandro, California. Her current practice location is 1624 Estudillo Ave, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 501-1496.

Lisa Jensen is licensed to practice in New York (license number F001470) 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 1700159373.

Contact Information

	Lisa Jensen, CNM
	1624 Estudillo Ave, San Leandro, CA 94577-3916
	(510) 501-1496
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Jensen
Gender	Female
Speciality	Advanced Practice Midwife
Location	1624 Estudillo Ave, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700159373
Provider Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012

Medicare PECOS Information:

PECOS PAC ID: 9335525997
Enrollment ID: I20221005000564

Medical Identifiers

Medical identifiers for Lisa Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700159373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	F001470 (New York)	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. Lisa Jensen allows following entities to bill medicare on her behalf.

Entity Name	Lifelong Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704

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. Lisa 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
Lisa Jensen, CNM 1624 Estudillo Ave, San Leandro, CA 94577-3916 Ph: (510) 501-1496	Lisa Jensen, CNM 1624 Estudillo Ave, San Leandro, CA 94577-3916 Ph: (510) 501-1496

Reviews and Comments

Advanced Practice Midwife Nurses in San Leandro, CA

Mrs. Mary Ann Quarto Bloyer, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000
Ms. Jessica Rae Martinez, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 925-548-4751
Ms. Rebecca Mitchell, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Madeleine Belizaire, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Mrs. Doris Therese Crisostomo Untalan, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000
Ms. Sarah Futernick, C.N.M, D.N.P Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, Ob/gyn Department - 3rd Floor, San Leandro, CA 94577 Phone: 415-572-6915
Ms. Sylvia Ann Berman, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000

Lisa Jensen, CNM - Medicare Advanced Practice Midwife in San Leandro, CA