Dr David Laurtiz Jensen, DO - Medicare Family Medicine in Goodyear, AZ

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Dr David Laurtiz Jensen, DO is a medicare enrolled "Family Medicine" physician in Goodyear, Arizona. His current practice location is 3090 N Litchfield Rd Ste 120, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (801) 874-3135.

Dr David Laurtiz Jensen is licensed to practice in Arizona (license number 005379) 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 1174855159.

Contact Information

Dr David Laurtiz Jensen, DO
3090 N Litchfield Rd Ste 120,
Goodyear, AZ 85395-9214
(801) 874-3135
Not Available

Map and Direction




Physician's Profile

Full NameDr David Laurtiz Jensen
GenderMale
SpecialityFamily Medicine
Location3090 N Litchfield Rd Ste 120, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174855159
  • Provider Enumeration Date: 02/02/2010
  • Last Update Date: 11/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1153455670
  • Enrollment ID: I20100818001090

Medical Identifiers

Medical identifiers for Dr David Laurtiz Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174855159NPI-NPPES
1174855159OtherAZNPI
569756MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9167838-8904 (Utah)Secondary
207Q00000XFamily Medicine 005379 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Laurtiz Jensen allows following entities to bill medicare on his behalf.
Entity NameSocial Work Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538573282
PECOS PAC ID: 3678793460
Enrollment ID: O20140929002480
Entity NameSynergy Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083271746
PECOS PAC ID: 2163859422
Enrollment ID: O20200226000518

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 David Laurtiz 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 AddressPractice Location Address
Dr David Laurtiz Jensen, DO
3090 N Litchfield Rd Ste 120,
Goodyear, AZ 85395-9214

Ph: (801) 874-3135		Dr David Laurtiz Jensen, DO
3090 N Litchfield Rd Ste 120,
Goodyear, AZ 85395-9214

Ph: (801) 874-3135

Reviews and Comments


Family Medicine Doctors in Goodyear, AZ

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Bonte Gbemudu, M.D.
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Dr. Nathan Andrew Tholl, M.D.
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Phone: 623-628-0311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.