Mark H Jensen (NPI# 1003990706, PAC ID# 2264403625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1003990706 |
PAC ID by PECOS | 2264403625 |
Professional Enrollment ID | I20040802000502 |
Full Name | Mark H Jensen |
Organization Legal Name | MAINE DERMATOLOGY, LLC |
Address |
2239 Atlantic Hwy Lincolnville ME 04849-5310 |
Phone Number | 2072301007 |
Gender | M |
Credential | DO |
Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1999 |
Primary Specialty | PSYCHIATRY |
Secondary Specialties | ADDICTION MEDICINE |
Group Practice PAC ID | 9537133665 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2239 Atlantic Hwy, Lincolnville, ME 04849-5310 | 2072301007 | MAINE DERMATOLOGY, LLC |
Organization Legal Name | MAINE DERMATOLOGY, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charmaine Jensen | Dermatology | Maine Dermatology, LLC | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 |
Michael Noparstak | Dermatology | Maine Dermatology, LLC | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 |
Street Address |
2239 ATLANTIC HWY |
City | LINCOLNVILLE |
State | ME |
Zip | 04849-5310 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charmaine Jensen | Dermatology | Maine Dermatology, LLC | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 |
Michael Noparstak | Dermatology | Maine Dermatology, LLC | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
Leigh A Presutto | Family Medicine | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
City | LINCOLNVILLE |
Zip Code | 04849 |
Specialty | PSYCHIATRY |
City + Specialty | LINCOLNVILLE + PSYCHIATRY |
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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.