Dr Mark Alan Pederson, DC is a medicare enrolled "Chiropractor" provider in Warren, Minnesota. He went to Palmer College Chiropractic - Davenport and graduated in 1995 and has 29 years of diverse experience with area of expertise as Chiropractic. His current practice location is
603 N Main Street, Warren, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 745-6655.
Dr Mark Alan Pederson is licensed to practice in Minnesota (license number 3351) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215045604.
Healthcare Provider's Profile
| Full Name | Dr Mark Alan Pederson |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 29 Years |
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| Location | 603 N Main Street, Warren, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Alan Pederson attended and graduated from Palmer College Chiropractic - Davenport in 1995
NPI Data:
- NPI Number: 1215045604
- Provider Enumeration Date: 08/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901849066
- Enrollment ID: I20050609000213
Medical Identifiers
Medical identifiers for Dr Mark Alan Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215045604 | NPI | - | NPPES |
| 20215 | Other | ND | BCBS |
| 15F41PE | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3351 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Alan Pederson allows following entities to bill medicare on his behalf.
| Provider Name | Family Chiropractic Of Warren Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598875171
PECOS PAC ID: 1557468600
Enrollment ID: O20070524000104 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Alan Pederson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Mark Alan Pederson, DC
603 N Main Street,
Warren, MN 56762
Ph: (218) 745-6655 | Dr Mark Alan Pederson, DC
603 N Main Street,
Warren, MN 56762
Ph: (218) 745-6655 |
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