Jensen Family Medicine | |
6682 Lower Ridge Dr Lakeside AZ 85929-5064 | |
(928) 224-4270 | |
(928) 212-9017 |
Full Name | Jensen Family Medicine |
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Speciality | Clinic/Center |
Location | 6682 Lower Ridge Dr, Lakeside, Arizona |
Authorized Official Name and Position | Scott Milton Jensen (PHYSICIAN) |
Authorized Official Contact | 4803812660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jensen Family Medicine 6682 Lower Ridge Dr Lakeside AZ 85929-5064 Ph: (928) 224-4270 | Jensen Family Medicine 6682 Lower Ridge Dr Lakeside AZ 85929-5064 Ph: (928) 224-4270 |
NPI Number | 1851437412 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 12/06/2023 |
Medicare PECOS PAC ID | 2264531482 |
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Medicare Enrollment ID | O20070628000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851437412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 28925 (Arizona) | Primary |
Provider Name | Scott Jensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033106497 PECOS PAC ID: 5799702015 Enrollment ID: I20070629000340 |
Provider Name | Amelia Y Lo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851600035 PECOS PAC ID: 6507042751 Enrollment ID: I20110524000187 |
Dallas Peterson Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Lockwood Dr, Lakeside, AZ 85929 Phone: 928-368-2060 | |
O Serrano Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 W White Mountain Blvd, Suite C, Lakeside, AZ 85929 Phone: 928-367-3637 Fax: 928-367-3638 | |
Honor Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W White Mountain Blvd, Suite D, Lakeside, AZ 85929 Phone: 928-368-4547 Fax: 928-368-4527 | |
Advanced Health And Wellness Az Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4830 Highway 260 Ste 102, Lakeside, AZ 85929 Phone: 928-537-7111 Fax: 928-532-1129 | |
Jibaro Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5658 Highway 260, Suite 19, Lakeside, AZ 85929 Phone: 928-532-5838 Fax: 928-532-6670 | |
Lakeside Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W White Mountain Blvd #c, Lakeside, AZ 85929 Phone: 928-367-6828 Fax: 928-367-4037 | |
Eric Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5448 Highway 260 Ste 100, Lakeside, AZ 85929 Phone: 928-358-1862 Fax: 928-537-2049 |