| Dr Shayne Raymond Jensen, DPM, FACFAS | |
|
2201 Jenks Ave, Panama City, FL 32405-4531 | |
| (850) 769-0325 | |
| (850) 769-4476 |
| Full Name | Dr Shayne Raymond Jensen |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 2201 Jenks Ave, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1134139454 | NPI | - | NPPES |
| 45803 | Other | FL | BLUECROSSBLUESHIELD GROUP |
| 65657 | Other | FL | BLUECROSSBLUESHIEL# |
| 061666115 | Other | FL | TAX ID |
| 480035194 | Other | FL | RR MEDICARE |
| CK8386 | Other | FL | RR MEDICARE GROUP |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Podiatry, Pa | 7416168570 | 2 |
| Provider Name | Gulf Coast Podiatry, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295745560 PECOS PAC ID: 7416168570 Enrollment ID: O20101110000193 |
| Provider Name | Guardian Biologics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20240109002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shayne Raymond Jensen, DPM, FACFAS 2507 Harrison Ave, Unit 201, Panama City, FL 32405-4447 Ph: (850) 769-0325 | Dr Shayne Raymond Jensen, DPM, FACFAS 2201 Jenks Ave, Panama City, FL 32405-4531 Ph: (850) 769-0325 |
Dr. Larry Hodson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2201 Jenks Ave, Panama City, FL 32405 Phone: 850-769-0325 Fax: 850-769-4476 | |
Raymond M Bleday Md Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 408 W 19th St, Panama City, FL 32405 Phone: 850-257-5090 Fax: 850-872-9059 | |
Daniel E Feitz, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2424 Frankford Ave, Panama City, FL 32405 Phone: 850-784-9787 Fax: 850-784-9619 | |
Dr. Robert W Stiegler Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2424 Frankford Ave, Panama City, FL 32405 Phone: 850-784-9787 Fax: 850-784-9619 | |
Gulf Coast Podiatry, Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 2507 Harrison Ave Unit 201, Panama City, FL 32405 Phone: 850-769-0325 Fax: 850-769-4476 | |
Dr. Kiran K Nanji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2430 Jenks Ave, Panama City, FL 32405 Phone: 850-763-7244 Fax: 850-763-0157 |