Dr Jerry Lee Jensen, DO in South Holland, IL

Dr Jerry Lee Jensen, DO is a medicare enrolled "Family Medicine" physician in South Holland, Illinois. His current practice location is 15525 S Park Ave, Suite 113, South Holland, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 331-5100.

Dr Jerry Lee Jensen is licensed to practice in Illinois (license number 036071680) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558372615.

Contact Information

	Dr Jerry Lee Jensen, DO
	15525 S Park Ave, Suite 113, South Holland, IL 60473-1308
	(708) 331-5100
	(708) 331-5005

Map and Direction

Physician's Profile

Full Name	Dr Jerry Lee Jensen
Gender	Male
Speciality
Experience	Years
Location	15525 S Park Ave, South Holland, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jerry Lee Jensen attended and graduated from in

NPI Data:

NPI Number: 1558372615
Provider Enumeration Date: 08/11/2006
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jerry Lee Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558372615	NPI	-	NPPES
0031603768	Other	IL	BLUE CROSS
036071680	Medicaid	IL
14D0913083	Other		CLIA NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036071680 (Illinois)	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. Dr Jerry Lee 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
Dr Jerry Lee Jensen, DO 24239 E Cumberland Ct, Crete, IL 60417-1854 Ph: (708) 672-8940	Dr Jerry Lee Jensen, DO 15525 S Park Ave, Suite 113, South Holland, IL 60473-1308 Ph: (708) 331-5100

Reviews and Comments

Family Medicine Doctors in South Holland, IL

Dr. Julieta Lasala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 312-609-0300 Fax: 312-842-5897
Shweta Gandhi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625
Jeffrey W Branta, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0648
Sajid Sami, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 Fax: 708-210-0625
Dr. William H Gillard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 52 W 162nd St, South Holland, IL 60473 Phone: 877-692-8686 Fax: 708-596-2538
Dr. Charles Matthew Chelich, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16240 Prince Dr, South Holland, IL 60473 Phone: 708-331-0011 Fax: 708-331-0008

Dr Jerry Lee Jensen, DO - Medicare in South Holland, IL