Mrs Leeann Jensen, CAA | |
1320 Mercy Dr Nw, Canton, OH 44708-2614 | |
(330) 489-1000 | |
Not Available |
Full Name | Mrs Leeann Jensen |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 3 Years |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891454773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000428 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Canton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Anesthesia Group, Inc | 9537222138 | 127 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leeann Jensen, CAA 10670 Orrville St Nw, Massillon, OH 44647-9568 Ph: (330) 284-4336 | Mrs Leeann Jensen, CAA 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 |
Jenna Staikoff, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Jonathan S Eberlein, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718 Phone: 330-499-5700 | |
Mark Tatum, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Colleen R Robson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 | |
Olesya Rabosyuk, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-498-1000 | |
Benjamin W. Falkenberg, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718 Phone: 330-656-3100 |