Peter J Jensen (NPI# 1831194471, PAC ID# 1355326414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1831194471 |
PAC ID by PECOS | 1355326414 |
Professional Enrollment ID | I20130530000083 |
Full Name | Peter J Jensen |
Organization Legal Name | KEYSTONE HOSPITALIST SERVICES OF MS INC |
Address |
1560 Sumrall Rd Columbia MS 39429-2654 |
Phone Number | 6017366303 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE, INTERNAL MEDICINE |
Group Practice PAC ID | 7517103864 |
Number of Group Practice Members | 38 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250085 | MARION GENERAL HOSPITAL |
250067 | CLAY COUNTY MEDICAL CORPORATION |
250004 | NORTH MISSISSIPPI MEDICAL CENTER |
250117 | HIGHLAND COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1560 Sumrall Rd, Columbia, MS 39429-2654 | 6017366303 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
130 Highland Pkwy, Picayune, MS 39466-5574 | 6013589400 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
100 Hospital Dr, Tylertown, MS 39667-2022 | 6018762122 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
150 Medical Ctr Dr, West Point, MS 39773-0428 | 6624952300 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Organization Legal Name | KEYSTONE HOSPITALIST SERVICES OF MS INC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Evan L Underwood | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
Johnny R Bullock | Internal Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
Victor Oluwaseun Sonaike | Family Medicine | Keystone Hospitalist Services of Ms Inc | 130 Highland Pkwy, Picayune, MS 39466-5574 |
Daniel G Stevens | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
Jeffrey Tipton | Nurse Practitioner | Keystone Hospitalist Services of Ms Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
Sharon Mitchell Collins | Family Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
Herbert Floyd | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
Arthur A Levy | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
O'neil J Pyke | Internal Medicine | Keystone Hospitalist Services of Ms Inc | 100 Hospital Dr, Tylertown, MS 39667-2022 |
Earl L Mahaffey | General Practice | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
Street Address |
1560 SUMRALL RD |
City | COLUMBIA |
State | MS |
Zip | 39429-2654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph Taiwo | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Oladipo Kusemiju | Family Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Ronda M Vanderheiden | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Lemuel D Oliver | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Jackie Stuckey | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Jeffrey N Johnson | Internal Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shakita D Rawls | Nurse Practitioner | Quality Medical Clinic, Inc. | 315 Lafayette St, Columbia, MS 39429-2059 |
Vickie L Robbins | Psychologist, Clinical | Meditelecare of Mississippi LLC | 1506 N Main St, Columbia, MS 39429-2070 |
Leonard Oswald | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 11 Pecan Dr, Columbia, MS 39429-2600 |
Alicia Brister | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
Nancy F Easterling | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
Oscar A Smith | Optometry | 317 Church St, Columbia, MS 39429-2725 | |
Jerry L Kimble | Chiropractic | 262 S High School Ave, Suite 5, Columbia, MS 39429-3418 | |
Holly R Fink | Chiropractic | 230 S High School Ave, Columbia, MS 39429-3421 | |
Shantele H Bolton | Obstetrics/gynecology | Womens Pavilion of South Mississippi Pllc | 551 Eagle Day Ave, Columbia, MS 39429-3605 |
Myles Devin Rodgers | Physical Therapy | Encore Rehabilitation Inc | 1215 Hwy 98 E, Columbia, MS 39429-3702 |
Find all physicians in zip 39429 |
City | COLUMBIA |
Zip Code | 39429 |
Specialty | FAMILY MEDICINE |
City + Specialty | COLUMBIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter J 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.