| Marianne Engrave Jensen, NP | |
|
3451 E 12th Street, Oakland, CA 94601 | |
| (510) 535-3319 | |
| (510) 535-4187 |
| Full Name | Marianne Engrave Jensen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3451 E 12th Street, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780788315 | NPI | - | NPPES |
| 55-1975 | Other | CA | FQHC MEDICARE PART A |
| HAP71021F | Other | CA | FPACT |
| FHC71021F | Medicaid | CA | |
| ZZZ29799Z | Other | CA | FQHC MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP (California) | Primary |
| Entity Name | La Clinica De La Raza Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538181482 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Marianne Engrave Jensen, NP 3451 E 12th St, Oakland, CA 94601-3463 Ph: (510) 535-4000 | Marianne Engrave Jensen, NP 3451 E 12th Street, Oakland, CA 94601 Ph: (510) 535-3319 |
Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437 |
Erica Tringale, N.P, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373 |
Mr. Juan Casillas Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4800 |
Dr. Macy Lieu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Webster St, Oakland, CA 94607 Phone: 510-986-6800 |
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 |
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200 |
Leah Wambui Gatimu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2521 Seminary Ave # 1, Oakland, CA 94605 Phone: 510-631-0333 |