Larry Dean Jensen, DPM in Tigard, OR - Medicare Podiatrist Provider

Larry Dean Jensen, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Tigard, Oregon. His current practice location is 11815 Sw King James Place, Suite 60, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 639-8107.

Larry Dean Jensen is licensed to practice in Oregon (license number DP00199) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851383269.

Contact Information

	Larry Dean Jensen, DPM
	11815 Sw King James Place, Suite 60, Tigard, OR 97224
	(503) 639-8107
	(503) 639-8108

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Dean Jensen
Gender	Male
Speciality	Podiatrist - Foot Surgery
Location	11815 Sw King James Place, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851383269
Provider Enumeration Date: 08/22/2005
Last Update Date: 05/04/2012

Medicare PECOS Information:

PECOS PAC ID: 3476562091
Enrollment ID: I20060410000629

Medical Identifiers

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

Identifier	Type	State	Issuer
1851383269	NPI	-	NPPES
000265	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0131X	Podiatrist - Foot Surgery	DP00199 (Oregon)	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. Larry Dean Jensen allows following entities to bill medicare on his behalf.

Provider Name	Fanno Creek Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244

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. Larry Dean 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
Larry Dean Jensen, DPM 11815 Sw King James Place, Suite 60, Tigard, OR 97224 Ph: (503) 639-8107	Larry Dean Jensen, DPM 11815 Sw King James Place, Suite 60, Tigard, OR 97224 Ph: (503) 639-8107

Reviews and Comments

Podiatrist in Tigard, OR

Mr. Stephen M Schroeder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7300 Sw Childs Rd, #b, Tigard, OR 97224 Phone: 503-692-8700 Fax: 503-692-8710
Larry D Jensen Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11815 Sw King James Pl, Suite 60, Tigard, OR 97224 Phone: 503-639-8107 Fax: 503-639-8108
Yama Ahmad Dehqanzada, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445
Ejiro C Isiorho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11515 Sw Durham Road, E1, Tigard, OR 97224 Phone: 503-624-0364 Fax: 503-684-3306
Westside Podiatry Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, Suit 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445
Paul Logan Williams, Podiatrist Medicare: Medicare Enrolled Practice Location: 11815 Sw King James Pl Ste 60, Tigard, OR 97224 Phone: 503-639-8107
Todd Galle, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Sw Hall Bvld, Suite 100, Tigard, OR 97223 Phone: 503-245-2420 Fax: 503-245-2445

Larry Dean Jensen, DPM - Medicare Podiatrist in Tigard, OR