Maximillion Jensen, DDS in Barrow, CA - Medicare Dentist Provider

Maximillion Jensen, DDS is a medicare enrolled "Dentist" provider in Barrow, California. His current practice location is 7000 Uula St, Barrow, California. You can reach out to his office (for appointments etc.) via phone at (907) 852-9221.

Maximillion Jensen is licensed to practice in California (license number 65015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205203627.

Contact Information

	Maximillion Jensen, DDS
	7000 Uula St, Barrow, CA 99723
	(907) 852-9221
	Not Available

Healthcare Provider's Profile

Full Name	Maximillion Jensen
Gender	Male
Speciality	Dentist
Location	7000 Uula St, Barrow, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205203627
Provider Enumeration Date: 09/02/2015
Last Update Date: 09/02/2015

Medicare PECOS Information:

PECOS PAC ID: 6204193782
Enrollment ID: I20171208001931

Medical Identifiers

Medical identifiers for Maximillion Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205203627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	65015 (California)	Primary

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. Maximillion 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
Maximillion Jensen, DDS 1296 Agvik Street, Apt 18, Barrow, AK 99723 Ph: (505) 270-3987	Maximillion Jensen, DDS 7000 Uula St, Barrow, CA 99723 Ph: (907) 852-9221

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Maximillion Jensen, DDS - Medicare Dentist in Barrow, CA