| Dane Bruce Jensen, MD | |
|
535 Hospital Rd, New Richmond, WI 54017-1449 | |
| (715) 243-3400 | |
| Not Available |
| Full Name | Dane Bruce Jensen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 535 Hospital Rd, New Richmond, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790164770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 62049 (Minnesota) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 74409-20 (Wisconsin) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031223000493 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dane Bruce Jensen, MD 2119 Heights Dr, Eau Claire, WI 54701-6130 Ph: (715) 717-5899 | Dane Bruce Jensen, MD 535 Hospital Rd, New Richmond, WI 54017-1449 Ph: (715) 243-3400 |
Dr. Kale Joseph Siebert, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 535 Hospital Rd, New Richmond, WI 54017 Phone: 715-243-3400 | |
Philippine Dana Dawn Peralta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 535 Hospital Rd, New Richmond, WI 54017 Phone: 715-243-3400 Fax: 715-246-8980 |