| Travis Steven Jensen, DPM | |
|
12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 | |
| (623) 584-5626 | |
| (623) 584-8998 |
| Full Name | Travis Steven Jensen |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 23 Years |
| Location | 12361 W Bola Dr, Surprise, Arizona |
| 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 |
|---|---|---|---|
| 1659366342 | NPI | - | NPPES |
| 96004401 | Medicaid | IL | |
| 0581740001 | Other | IL | DMERC |
| 60010789 | Other | IL | BCBS |
| 1659366342 | Other | AZ | BC/BS |
| 118419 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 16005134 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 665 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
| Provider Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Steven Jensen, DPM 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626 | Travis Steven Jensen, DPM 12361 W Bola Dr, Ste 100, Surprise, AZ 85378-9021 Ph: (623) 584-5626 |
Dr. Marie C. Paul, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379 Phone: 623-584-0760 Fax: 623-546-0344 | |
Foot & Ankle Specialists Of Arizona Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14973 W Bell Rd Ste 110, Surprise, AZ 85374 Phone: 623-544-9090 Fax: 623-546-3704 | |
Fixingfeet, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14823 W Bell Rd, Suite 100, Surprise, AZ 85374 Phone: 623-584-5556 Fax: 623-584-0755 | |
Acharles Consult Podiatrist Medicare: Medicare Enrolled Practice Location: 15333 W Hearn Rd, Surprise, AZ 85379 Phone: 702-659-5604 | |
Travis S Jensen Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr, Surprise, AZ 85378 Phone: 623-584-5626 | |
Dr. Viedra V Elison, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14823 W Bell Rd, Suite 100, Surprise, AZ 85374 Phone: 623-584-5556 Fax: 623-584-0755 | |
David Kern Lee, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 18731 N Reems Rd Ste 640, Surprise, AZ 85374 Phone: 623-328-8577 Fax: 623-428-0363 |