Jesse David Jensen, DO is a medicare enrolled "Dermatology" physician in Tooele, Utah. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice West Valley Dermatology and 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 | Dermatology |
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| Experience | 16 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. |
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Medical Education and Training:
- Jesse David Jensen graduated from medical school in 2010
NPI Data:
- NPI Number: 1619294337
- Provider Enumeration Date: 04/21/2010
- Last Update Date: 03/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103069521
- Enrollment ID: I20141230002383
Medical Identifiers
Medical identifiers for Jesse David Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619294337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 8963761-1204 (Utah) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | 8963761-1204 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Valley Dermatology | 5496078479 | 2 |
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. Jesse David Jensen allows following entities to bill medicare on his behalf.
| Entity Name | West Valley Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548680184
PECOS PAC ID: 5496078479
Enrollment ID: O20141223002101 |
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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 |
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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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