Richard Allan Jensen Jr.

MD | Pediatric Cardiology | Male

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Complete Profile:

Richard Allan Jensen Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Richard Allan Jensen Jr.
Credential :	MD
Gender :	Male

Business Address:

Richard Allan Jensen Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	101 W 8th Ave, Suite 4300 Spokane, WA, 99204-2307 United States
Phone Number :	509-747-6707
Fax Number :	509-624-9186

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699728022
NPI Entity Type :	Individual
First Enrolment Date :	18 May, 2006
Last Updated On :	02 Jun, 2021

Medicare Participation:

Richard Allan Jensen Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8628067287
Medicare Enrollment ID :	I20040510000022
Primary Specialty :	Pediatric Medicine
Medical School :	Loma Linda University School Of Medicine
Graduation Year :	1987
Accepts Medicare?	Yes. Richard Allan Jensen Jr. accepts medicare insurance.

Group Practice Association:

Richard Allan Jensen Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Richard Allan Jensen Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Providence Health And Services Washington	0345139929	678	1200 E Columbia Ave Colville, WA - 991143354 Ph: 5096843701	Yes
Providence Health And Services Washington	0345139929	678	101 W 8th Ave Spokane, WA - 992042307	Yes
Providence Health And Services Washington	0345139929	678	700 S Main St Moscow, ID - 838433056 Ph: 2088824511	Yes
Providence Health And Services Washington	0345139929	678	212 Rodeo Dr Moscow, ID - 838439798 Ph: 2088825925	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Allan Jensen Jr. are as mentioned. Primary taxonomy code for Richard Allan Jensen Jr., MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	M-9469	ID
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD00042494	WA

Legacy Identifiers:

Other legacy medical identifiers of Richard Allan Jensen Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0149736	MEDICAID	MT
806634500	MEDICAID	ID
8357667	MEDICAID	WA
2277230	MEDICAID	OR

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 421 Liberty Lake, WA, 99019-0421 United States
Phone Number :	509-474-6707

Business Location:

Patients can refer following map for directions to Richard Allan Jensen Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.