Jenna L Jensen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Challis, Idaho. Her current practice location is
611 Clinic Road, Challis, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 879-4351.
Jenna L Jensen is licensed to practice in Idaho (license number 1142A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194095570.
Provider's Profile
| Full Name | Jenna L Jensen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 611 Clinic Road, Challis, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194095570
- Provider Enumeration Date: 01/03/2012
- Last Update Date: 03/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 7911166731
- Enrollment ID: I20120313000920
Medical Identifiers
Medical identifiers for Jenna L Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194095570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 23739 A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1142A (Idaho) | Primary |
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. Jenna L Jensen allows following entities to bill medicare on her behalf.
| Entity Name | Caribou Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970272
PECOS PAC ID: 7618365701
Enrollment ID: O20220314000619 |
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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. Jenna L 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 |
|---|
Jenna L Jensen, FNP-C
P.o. Box 980, 611 Clinic Road,
Challis, ID 83226
Ph: (208) 879-4351 | Jenna L Jensen, FNP-C
611 Clinic Road,
Challis, ID 83226
Ph: (208) 879-4351 |
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