Dr Craig Jensen, OD is a medicare enrolled "Optometrist" provider in Mountain Home Afb, Idaho. His current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 828-7250.
Dr Craig Jensen is licensed to practice in Utah (license number 9552945-9934) 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 1164893202.
Healthcare Provider's Profile
| Full Name | Dr Craig Jensen |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164893202
- Provider Enumeration Date: 10/15/2015
- Last Update Date: 08/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547579922
- Enrollment ID: I20151026002352
Medical Identifiers
Medical identifiers for Dr Craig Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164893202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 9552945-9934 (Utah) | Primary |
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. Dr Craig 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 |
|---|
Dr Craig Jensen, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: () - | Dr Craig Jensen, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648
Ph: (208) 828-7250 |
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