Jared Jensen, is a
Adult Companion based in Modesto, California. Jared Jensen is licensed to practice in * (Not Available) (license number ) and his current practice location is
500 N 9th St, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 525-7412.
NPI number for Jared Jensen is 1528460599 and his current mailing address is 500 N 9th St, Modesto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528460599.
Healthcare Provider's Profile
| Full Name | Jared Jensen |
|---|
| Gender | Male |
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| Speciality | Adult Companion |
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| Location | 500 N 9th St, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528460599
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 06/17/2025
Medical Identifiers
Medical identifiers for Jared Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528460599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | 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. Jared Jensen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jared Jensen,
500 N 9th St,
Modesto, CA 95350-5814
Ph: (209) 525-7412 | Jared Jensen,
500 N 9th St,
Modesto, CA 95350-5814
Ph: (209) 525-7412 |
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