Travis Steven Jensen, DPM in Surprise, AZ - Medicare Podiatry Provider

Travis Steven Jensen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Surprise, Arizona. He went to William M. Scholl College Of Podiatric Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Bhsm Rehabilitation Llc, Banner Physician Specialists Arizona Llc and his current practice location is 12361 W Bola Dr, Ste 100, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-5626.

Travis Steven Jensen is licensed to practice in Arizona (license number 665) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659366342.

Contact Information

	Travis Steven Jensen, DPM
	12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021
	(623) 584-5626
	(623) 584-8998

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Steven Jensen
Gender	Male
Speciality	Podiatry
Experience	22 Years
Location	12361 W Bola Dr, Surprise, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Travis Steven Jensen attended and graduated from William M. Scholl College Of Podiatric Medicine in 2002

NPI Data:

NPI Number: 1659366342
Provider Enumeration Date: 09/19/2005
Last Update Date: 11/03/2011

Medicare PECOS Information:

PECOS PAC ID: 2668413865
Enrollment ID: I20071103000152

Medical Identifiers

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

Identifier	Type	State	Issuer
1659366342	NPI	-	NPPES
96004401	Medicaid	IL
0581740001	Other	IL	DMERC
60010789	Other	IL	BCBS
1659366342	Other	AZ	BC/BS
118419	Other	AZ	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	16005134 (Illinois)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	665 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Boswell Medical Center	Sun city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bhsm Rehabilitation Llc	2062773138	1355
Banner Physician Specialists Arizona Llc	6204002272	255

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. Travis Steven Jensen allows following entities to bill medicare on his behalf.

Provider Name	Banner Physician Specialists Arizona Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

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. Travis Steven 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
Travis Steven Jensen, DPM 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626	Travis Steven Jensen, DPM 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626

Reviews and Comments

Podiatrist in Surprise, AZ

Heavenly Soles Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379 Phone: 623-584-0760 Fax: 623-546-0344
Dr. Marie C. Paul, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379 Phone: 623-584-0760 Fax: 623-546-0344
Foot & Ankle Specialists Of Arizona Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14973 W Bell Rd Ste 110, Surprise, AZ 85374 Phone: 623-544-9090 Fax: 623-546-3704
Sanford Ralph Kaner, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Fixingfeet, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14823 W Bell Rd, Suite 100, Surprise, AZ 85374 Phone: 623-584-5556 Fax: 623-584-0755
Travis S Jensen Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 12361 W Bola Dr, Surprise, AZ 85378 Phone: 623-584-5626
Dr. Viedra V Elison, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14823 W Bell Rd, Suite 100, Surprise, AZ 85374 Phone: 623-584-5556 Fax: 623-584-0755

Travis Steven Jensen, DPM - Medicare Podiatrist in Surprise, AZ