Welby N Jensen (NPI# 1609887504, PAC ID# 0446296925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1609887504 |
| PAC ID by PECOS | 0446296925 |
| Professional Enrollment ID | I20050706000865 |
| Full Name | Welby N Jensen |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
717 E Rezanof Dr Kodiak AK 99615-6416 |
| Phone Number | 9074812400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0547152217 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021306 | PROVIDENCE KODIAK ISLAND MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 9074812400 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 911 Meals Ave, Valdez, AK 99686 | 9078352838 | CITY OF VALDEZ |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
717 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip | 99615-6416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Weaver | Clinical Social Worker | Providence Health and Services Washington | 717 E Rezanof Dr, Kodiak, AK 99615-6416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerimiah L Myers | Optometry | 214 W Rezanof Dr, Suite 1, Kodiak, AK 99615-6044 | |
| Kevin Creelman | General Practice | 104 Ctr Ave, Suite 100, Kodiak, AK 99615-6393 | |
| Rae Jean Blaschka | Nurse Practitioner | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Mark E Withrow | General Practice | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Carol L Juergens | Internal Medicine | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Laura M Creighton | Chiropractic | 814 E Rezanof Dr, Kodiak, AK 99615-6599 | |
| Janet Abadir | General Surgery | Providence Health and Services Washington | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Melissa K Witteveen | Physician Assistant | Kodiak Island Healthcare Foundation | 1911 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Stephen S Burnside | Internal Medicine | Providence Health and Services Washington | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Wendell H Wilmoth | Diagnostic Radiology | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | |
| Find all physicians in zip 99615 | |||
| City | KODIAK |
| Zip Code | 99615 |
| Specialty | PSYCHIATRY |
| City + Specialty | KODIAK + PSYCHIATRY |
Please comment or provide details below to improve the information on Welby N Jensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.