Ms Wanda Ethel Jensen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lima, Montana. Her current practice location is
120 W 3rd Ave, Lima, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 660-0904.
Ms Wanda Ethel Jensen is licensed to practice in Montana (license number 62696) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154099588.
Healthcare Provider's Profile
Full Name | Ms Wanda Ethel Jensen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 120 W 3rd Ave, Lima, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154099588
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678921459
- Enrollment ID: I20231205001376
Medical Identifiers
Medical identifiers for Ms Wanda Ethel Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154099588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 62696 (Montana) | Primary |
1041C0700X | Social Worker - Clinical | 37100 (Montana) | Secondary |
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. Ms Wanda Ethel 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 |
Ms Wanda Ethel Jensen, LCSW Po Box 13, Lima, MT 59739-0013 Ph: (406) 660-0904 | Ms Wanda Ethel Jensen, LCSW 120 W 3rd Ave, Lima, MT 59739 Ph: (406) 660-0904 |
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