| Jedediah Lars Jensen, DO | |
|
709 Spring Valley Rd, Burlington, WI 53105-7614 | |
| (262) 971-1900 | |
| Not Available |
| Full Name | Jedediah Lars Jensen |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 14 Years |
| Location | 709 Spring Valley Rd, Burlington, Wisconsin |
| 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 |
|---|---|---|---|
| 1952621872 | NPI | - | NPPES |
| 100100259 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3207 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jedediah Lars Jensen, DO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233 | Jedediah Lars Jensen, DO 709 Spring Valley Rd, Burlington, WI 53105-7614 Ph: (262) 971-1900 |
Dr. James T Moran, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8094 Fax: 262-767-8212 | |
Ramakrishna P Venugopalan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6148 Fax: 262-767-6147 | |
Nathan M Lebak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St Ste 8, Burlington, WI 53105 Phone: 262-767-6000 | |
Dr. Randall William Schmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8262 Fax: 262-767-8212 | |
Dr. Fouad Jamal-ul Husnain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 N Dodge St Ste 1, Burlington, WI 53105 Phone: 262-661-4000 Fax: 414-672-9941 | |
Aasim Mohammed, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 N Dodge St Ste 201, Burlington, WI 53105 Phone: 414-672-9940 | |
Chul Won Chung, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 |