| Dr Gary L Jensen, | |
|
11 Nw First Ave, Chisholm, MN 55719-1811 | |
| (218) 254-4393 | |
| (218) 254-5471 |
| Full Name | Dr Gary L Jensen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 50 Years |
| Location | 11 Nw First Ave, Chisholm, Minnesota |
| 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 |
|---|---|---|---|
| 1770508426 | NPI | - | NPPES |
| 2200981 | Other | MDMA2 MEDICA PIN | |
| OD327JE | Other | BCMA BCBS PIN | |
| 411260738 | Other | PABS CLARITY VISION PIN | |
| OD327JE | Other | FIRST FIRST PLAN PIN | |
| 01020509 | Other | BOIS PREFERRED ONE PIN | |
| 01020509 | Other | PRE00 UNITED HEALTH PIN | |
| 2200980 | Other | MCCS1 MEDICA PIN | |
| OD327JE | Other | ANTHEM BCBS PIN | |
| OD327JE | Other | FIRSD FIRST PLAN DISP PIN | |
| 0150730001 | Other | ADMINISTAR FEDERAL(DMERC), INC. | |
| 2100694 | Other | MDMA3 MEDICA PIN | |
| 2200980 | Other | MDMA1 MEDICA PIN | |
| 411260738 | Other | BCWP BCBS OF PENN PIN | |
| OD327JE | Other | BCMN BCBS PIN | |
| 524223100 | Other | MNMA MN MED ASSIST PIN | |
| OD327JE | Other | BCMAD BCBS PIN | |
| OD327JE | Other | COM COMP CARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1610 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sundell Eye Associates, Pa | 3971796723 | 3 |
| Provider Name | Sundell Eye Associates, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093027112 PECOS PAC ID: 3971796723 Enrollment ID: O20101025000902 |
| Provider Name | Bechthold Eye Care Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881259794 PECOS PAC ID: 9436484300 Enrollment ID: O20190715002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary L Jensen, 11 Nw First Ave, Chisholm, MN 55719-1811 Ph: (218) 254-4393 | Dr Gary L Jensen, 11 Nw First Ave, Chisholm, MN 55719-1811 Ph: (218) 254-4393 |
Kayla Miller Bechthold, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 1st Ave Nw, Chisholm, MN 55719 Phone: 218-254-4393 Fax: 218-786-9375 | |
Bechthold Eye Care Pa Optometrist Medicare: Medicare Enrolled Practice Location: 11 1st Ave Nw, Chisholm, MN 55719 Phone: 218-254-4393 |