Dr Kathleen Marie Pedersen, MD in Irving, TX

Dr Kathleen Marie Pedersen, MD is a medicare enrolled "Pediatrics" physician in Irving, Texas. Her current practice location is 1111 W Airport Fwy, Suite 143, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 488-4500.

Dr Kathleen Marie Pedersen is licensed to practice in Texas (license number Q9000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700221918.

Contact Information

	Dr Kathleen Marie Pedersen, MD
	1111 W Airport Fwy, Suite 143, Irving, TX 75062-6203
	(469) 488-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Marie Pedersen
Gender	Female
Speciality	Pediatrics
Location	1111 W Airport Fwy, Irving, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700221918
Provider Enumeration Date: 05/01/2013
Last Update Date: 07/09/2016

Medicare PECOS Information:

PECOS PAC ID: 4789920802
Enrollment ID: I20190110002446

Medical Identifiers

Medical identifiers for Dr Kathleen Marie Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700221918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	Q9000 (Texas)	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 Kathleen Marie Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Dallas County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

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 Kathleen Marie Pedersen 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
Dr Kathleen Marie Pedersen, MD 1111 W Airport Fwy, Suite 143, Irving, TX 75062-6203 Ph: () -	Dr Kathleen Marie Pedersen, MD 1111 W Airport Fwy, Suite 143, Irving, TX 75062-6203 Ph: (469) 488-4500

Reviews and Comments

Pediatrics Doctors in Irving, TX

Dr. Michelle Burnside Fowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063 Phone: 972-481-6400 Fax: 972-831-9794
Vicky R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6724 Verde #228, Irving, TX 75039 Phone: 972-978-7473
Joan P Kay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2021 N Macarthur Blvd, Suite 250, Irving, TX 75061 Phone: 972-253-4310 Fax: 972-253-4326
Dr. Satish Goel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 N. Macarthur Boulevard, 102, Irving, TX 75766 Phone: 972-444-8632 Fax: 972-444-8691
Darlene Annie Kurian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Ste 206, Irving, TX 75039 Phone: 972-253-4345 Fax: 972-253-6425
Hiren Anil Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Seva Ct, Irving, TX 75061 Phone: 121-499-8632
Agboola O Fatiregun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3501 N Macarthur Blvd Ste 450, Irving, TX 75062 Phone: 972-786-0330 Fax: 972-739-2894

Dr Kathleen Marie Pedersen, MD - Medicare Pediatrics in Irving, TX