Mr Olav Jens Sorensen, DMD - Medicare Dentist in Blackfoot, ID

Mr Olav Jens Sorensen, DMD is a medicare enrolled "Dentist - General Practice" provider in Blackfoot, Idaho. His current practice location is 621 Jensen Grove Dr, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 915-8419.

Mr Olav Jens Sorensen is licensed to practice in Idaho (license number D-4435) 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 1184999708.

Contact Information

Mr Olav Jens Sorensen, DMD
621 Jensen Grove Dr,
Blackfoot, ID 83221-1685
(208) 915-8419
Not Available



Healthcare Provider's Profile

Full NameMr Olav Jens Sorensen
GenderMale
SpecialityDentist - General Practice
Location621 Jensen Grove Dr, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184999708
  • Provider Enumeration Date: 03/14/2012
  • Last Update Date: 04/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133494388
  • Enrollment ID: I20171013002365

Medical Identifiers

Medical identifiers for Mr Olav Jens Sorensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184999708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D-4435 (Idaho)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. Mr Olav Jens Sorensen 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 AddressPractice Location Address
Mr Olav Jens Sorensen, DMD
621 Jensen Grove Dr,
Blackfoot, ID 83221-1685

Ph: (208) 915-8419
Mr Olav Jens Sorensen, DMD
621 Jensen Grove Dr,
Blackfoot, ID 83221-1685

Ph: (208) 915-8419

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Dentist in Blackfoot, ID

Dr. Dennis Scott Hatch, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1177 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-1360    Fax: 208-782-0105
Dr. Damon Taylor Armstrong, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 625 W Pacific St Ste 4, Blackfoot, ID 83221
Phone: 208-785-3310    Fax: 208-785-3393
Dr. Charles Gordon Simpson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1180 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-0310    Fax: 208-785-0319
Dr. Bradford William Harper, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-0878    
Peggy J Trebilcock, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2407 Teeples Dr, Blackfoot, ID 83221
Phone: 208-782-0242    Fax: 208-782-1160
Kelly Weaver, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 310 W Idaho St, Blackfoot, ID 83221
Phone: 208-785-2255    Fax: 208-785-2275

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