| Dr Stephen M Jensen, DO | |
|
450 E Main St, Rexburg, ID 83440-2048 | |
| (208) 359-6900 | |
| Not Available |
| Full Name | Dr Stephen M Jensen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 450 E Main St, Rexburg, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821351800 | NPI | - | NPPES |
| O-1547 | Other | ID | IDAHO STATE MEDICAL LICENSE |
| 64040 | Other | WI | WI STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0116025046 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | O-1547 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | 64040 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton Valley Health Care Inc | 3870744956 | 33 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 665 |
| Madison Memorial Hospital | 4183949522 | 21 |
| Entity Name | Teton Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587 |
| Entity Name | Madison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen M Jensen, DO 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6900 | Dr Stephen M Jensen, DO 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6900 |
Dr. Steven Hansen Lofgran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444 | |
Mr. Craig D Heiner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 East Main, Rexburg, ID 83440 Phone: 208-356-8808 Fax: 208-356-8810 | |
Dr. Hans Thurgood Redd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Shc, Rexburg, ID 83460 Phone: 208-496-1300 Fax: 208-496-1306 | |
Dr. Dane J Dickson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Walker Drive, Rexburg, ID 83440 Phone: 208-356-9559 Fax: 208-356-6601 | |
Rodney Bates Jr., DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Professional Plz, Rexburg, ID 83440 Phone: 208-359-9411 Fax: 208-656-8444 | |
Jack O. Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6419 Fax: 208-356-3111 |