| Dr Cynthia L Jensen, DO | |
|
205 Osceola St, Laurium, MI 49913-2134 | |
| (906) 337-6560 | |
| (906) 337-6582 |
| Full Name | Dr Cynthia L Jensen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 205 Osceola St, Laurium, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871553255 | NPI | - | NPPES |
| 1871553255 | Other | WI | WI MEDICAID |
| 1871553255 | Medicaid | MI | |
| P01393231 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 16864 (South Dakota) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 5101014312 (Michigan) | Primary |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124283502 PECOS PAC ID: 1456420876 Enrollment ID: O20080527000172 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia L Jensen, DO 1140 N State St, Saint Ignace, MI 49781-1048 Ph: (906) 643-0405 | Dr Cynthia L Jensen, DO 205 Osceola St, Laurium, MI 49913-2134 Ph: (906) 337-6560 |
Robert Michael Wittig, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-337-6500 Fax: 906-337-6597 |