Daniel L Jensen


Address: 3272 E 12 Mile Rd, Suite 102, Warren, MI 49082-5622

Daniel L Jensen (NPI# 1326230236, PAC ID# 6709973126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.

Physician Overview

Nation Provider ID (NPI) 1326230236
PAC ID by PECOS 6709973126
Professional Enrollment ID I20071101000559
Full Name Daniel L Jensen
Address 3272 E 12 Mile Rd
Suite 102
Warren
MI 49082-5622
Gender M
Graduation Year 2000
Primary Specialty VASCULAR SURGERY
Secondary Specialties THORACIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER

Other Locations

Address Phone Organization
3272 E 12 Mile Rd, Suite 102, Warren, MI 49082-5622

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 3272 E 12 MILE RD
SUITE 102
City WARREN
State MI
Zip 49082-5622

Physicians in the same location

Name Specialty Organization Address
Robert J Cardwell Thoracic Surgery 3272 E 12 Mile Rd, 102 Robert Cardwell Md, Warren, MI 48092-5622
Vladislav Vishovski Dayan Physical Therapy 3272 E 12 Mile Rd, Suite 106, Warren, MI 48092-5622
Anthony Weinert Podiatry 3272 E 12 Mile Rd, Suite 101, Warren, MI 48092-5622
Keith N Marshall General Surgery 3272 E 12 Mile Rd, Suite 102, Warren, MI 48092-5622

Physicians in the same zip code

Name Specialty Organization Address
Amber Casey Internal Medicine Community Health Center of Branch County 185 E Chicago St, Quincy, MI 49082-1165
Ashley Howard Nurse Practitioner Community Health Center of Branch County 185 E Chicago St, Quincy, MI 49082-1165

Competitor

Search similar physicians

City WARREN
Zip Code 49082
Specialty VASCULAR SURGERY
City + Specialty WARREN + VASCULAR SURGERY

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Dataset Information

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.

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