Jesse David Jensen, DO is a medicare enrolled "Dermatology" physician in Tooele, Utah. His current practice location is
2376 N 400 E, Ste 203, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 966-1403.
Jesse David Jensen is licensed to practice in Utah (license number 8963761-1204) 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 1619294337.
Physician's Profile
Full Name | Jesse David Jensen |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2376 N 400 E, Tooele, Utah |
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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:
- Jesse David Jensen attended and graduated from in
NPI Data:
- NPI Number: 1619294337
- Provider Enumeration Date: 04/21/2010
- Last Update Date: 03/07/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jesse David Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619294337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 8963761-1204 (Utah) | Primary |
207ND0900X | Dermatology - Dermatopathology | 8963761-1204 (Utah) | Secondary |
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. Jesse David 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 |
Jesse David Jensen, DO 3465 S Pioneer Pkwy, Suite 1, West Valley City, UT 84120-2076 Ph: (801) 966-1403 | Jesse David Jensen, DO 2376 N 400 E, Ste 203, Tooele, UT 84074-3413 Ph: (801) 966-1403 |
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