Dr Ben Lawrence Pederson, MD - Medicare Family Practice in Portland, OR

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Dr Ben Lawrence Pederson, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He went to University Of Minnesota Medical School and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Health And Services Oregon, Providence Health And Services Oregon and his current practice location is 4104 Se 82nd Ave Ste 250, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-9850.

Dr Ben Lawrence Pederson is licensed to practice in Oregon (license number MD171441) 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 1073856142.

Contact Information

Dr Ben Lawrence Pederson, MD
4104 Se 82nd Ave Ste 250,
Portland, OR 97266-2954
(503) 215-9850
(503) 215-9855

Map and Direction




Physician's Profile

Full NameDr Ben Lawrence Pederson
GenderMale
SpecialityFamily Practice
Experience11 Years
Location4104 Se 82nd Ave Ste 250, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ben Lawrence Pederson attended and graduated from University Of Minnesota Medical School in 2013
  NPI Data:
  • NPI Number: 1073856142
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 10/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022259613
  • Enrollment ID: I20150623002865

Medical Identifiers

Medical identifiers for Dr Ben Lawrence Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073856142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD171441 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Milwaukie HospitalMilwaukie, ORHospital
Providence Portland Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
Providence Health And Services Oregon5395656284115

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 Ben Lawrence Pederson allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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 Ben Lawrence 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 AddressPractice Location Address
Dr Ben Lawrence Pederson, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: () -		Dr Ben Lawrence Pederson, MD
4104 Se 82nd Ave Ste 250,
Portland, OR 97266-2954

Ph: (503) 215-9850

Reviews and Comments


Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D.
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Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213
Phone: 503-233-6940    
Dr. Robert Brian Bettencourt, MD
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Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225
Phone: 503-214-5200    Fax: 503-906-6613
Katy L Bochat, DO
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Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213
Phone: 503-215-6405    
Jonathan L Vinson, MD
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Practice Location: 839 Ne Holladay St, Portland, OR 97232
Phone: 503-203-0700    
Dr. Timothy P Janzen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216
Phone: 503-261-7200    Fax: 503-261-7249
Alison Mitchell, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213
Phone: 503-215-6480    
Dr. Steven Colin Jackson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204
Phone: 503-988-3674    Fax: 503-988-5779

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.