Mark Krueger Jenson (NPI# 1598727000, PAC ID# 4688684400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598727000 |
| PAC ID by PECOS | 4688684400 |
| Professional Enrollment ID | I20101025001163 |
| Full Name | Mark Krueger Jenson |
| Organization Legal Name | DOUSMAN CLINIC, S.C. |
| Address |
124 Siegler St Green Bay WI 54303-2636 |
| Phone Number | 9204949661194 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6507876323 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 124 Siegler St, Green Bay, WI 54303-2636 | 9204949661194 | DOUSMAN CLINIC, S.C. |
| Organization Legal Name | DOUSMAN CLINIC, S.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Marie Gajewski | Physician Assistant | Dousman Clinic, S.c. | 124 Siegler St, Green Bay, WI 54303-2636 |
| Street Address |
124 SIEGLER ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-2636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Marie Gajewski | Physician Assistant | Dousman Clinic, S.c. | 124 Siegler St, Green Bay, WI 54303-2636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREEN BAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Krueger Jenson.
| 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.