Charmaine Jensen (NPI# 1215010889, PAC ID# 7416921549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215010889 |
| PAC ID by PECOS | 7416921549 |
| Professional Enrollment ID | I20040824000523 |
| Full Name | Charmaine Jensen |
| Organization Legal Name | MAINE DERMATOLOGY, LLC |
| Address |
2239 Atlantic Hwy Lincolnville ME 04849-5310 |
| Phone Number | 2072301007 |
| Gender | F |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9537133665 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201312 | WALDO COUNTY GENERAL HOSPITAL |
| 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 |
|---|---|---|---|
| Mark H Jensen | Psychiatry | 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 |
|---|---|---|---|
| Mark H Jensen | Psychiatry | 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 | DERMATOLOGY |
| City + Specialty | LINCOLNVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Charmaine 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.