Camilla Rae Jensen (NPI# 1245584085, PAC ID# 1658525001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245584085 |
| PAC ID by PECOS | 1658525001 |
| Professional Enrollment ID | I20160606000229 |
| Full Name | Camilla Rae Jensen |
| Organization Legal Name | DISTRICT MEDICAL GROUP INC |
| Address |
2601 E Rooosevelt St Phoenix AZ 85008-4973 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315086691 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030022 | MARICOPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 | DISTRICT MEDICAL GROUP INC | |
| 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 6029141520 | DISTRICT MEDICAL GROUP INC |
| Organization Legal Name | DISTRICT MEDICAL GROUP INC |
| Physicians | 253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn L Caffarella | Clinical Social Worker | District Medical Group Inc | 570 W Brown Rd, Mesa, AZ 85201-3227 |
| Leonel A Urdaneta | Psychiatry | District Medical Group Inc | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 |
| Amol R Patel | Psychiatry | District Medical Group Inc | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 |
| Stacy L Underwood | Nurse Practitioner | District Medical Group Inc | 840 E Mckellips Rd, Suite 110, Mesa, AZ 85203-9654 |
| Tanida L Brown | Psychiatry | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Anne M Floyd | Ophthalmology | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Cathy J Kaplicki | Nurse Practitioner | District Medical Group Inc | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 |
| Sheetal K Chhaya | Rheumatology | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Paul Anthony R Del Prado | General Surgery | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Paola G Pieri | Undefined Physician Type (specify) | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Street Address |
2601 E ROOOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85008-4973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco Cordova | Internal Medicine | Maricopa County Special Health Care District | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Tanida L Brown | Psychiatry | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Anne M Floyd | Ophthalmology | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Sheetal K Chhaya | Rheumatology | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Paul Anthony R Del Prado | General Surgery | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Paola G Pieri | Undefined Physician Type (specify) | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Sydney J Vail | General Surgery | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Christina Ferraro | Diagnostic Radiology | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Joanna K Kowalik | Psychiatry | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Jolyn M Wilda | Certified Registered Nurse Anesthetist (crna) | District Medical Group Inc | 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi R Nolletti | Clinical Social Worker | 2600 N 44th St, B104, Phoenix, AZ 85008-1521 | |
| Rachel Lee Taylor | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Esther Ndegwa-wanje | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Cynthia King Alvarez | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Latrecia M Herring | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Rajnikanth Ravula | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Myunghan Choi | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Yvonne M Velasco | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Teresa M Ayela-uwangue | Internal Medicine | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Janet L James-melvin | Nurse Practitioner | Zion Medical Group Pllc | 2509 N 24th St, Phoenix, AZ 85008-1805 |
| Find all physicians in zip 85008 | |||
| City | PHOENIX |
| Zip Code | 85008 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PHOENIX + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Camilla Rae 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.