Dr Lee Carl Pederson, MD in Charlotte, NC

Dr Lee Carl Pederson, MD is a medicare enrolled "Surgery" physician in Charlotte, North Carolina. He went to University Of Oklahoma College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Specialists Of Charlotte Pa and his current practice location is 2001 Vail Ave Ste 320, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 364-8100.

Dr Lee Carl Pederson is licensed to practice in North Carolina (license number 200300515) 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 1083690622.

Contact Information

	Dr Lee Carl Pederson, MD
	2001 Vail Ave Ste 320, Charlotte, NC 28207-1222
	(704) 364-8100
	(704) 365-2073

Map and Direction

Physician's Profile

Full Name	Dr Lee Carl Pederson
Gender	Male
Speciality	General Surgery
Experience	30 Years
Location	2001 Vail Ave Ste 320, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. 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 Lee Carl Pederson attended and graduated from University Of Oklahoma College Of Medicine in 1994

NPI Data:

NPI Number: 1083690622
Provider Enumeration Date: 12/15/2005
Last Update Date: 08/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5092789933
Enrollment ID: I20040825000669

Medical Identifiers

Medical identifiers for Dr Lee Carl Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083690622	NPI	-	NPPES
891344	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	200300515 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Specialists Of Charlotte Pa	3779519285	33

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 Lee Carl Pederson allows following entities to bill medicare on his behalf.

Entity Name	Surgical Specialists Of Charlotte Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059

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 Lee Carl 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
Dr Lee Carl Pederson, MD Po Box 33369, Charlotte, NC 28233-3369 Ph: (704) 916-2108	Dr Lee Carl Pederson, MD 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 Ph: (704) 364-8100

Reviews and Comments

Surgery Doctors in Charlotte, NC

Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Benjamin Yglesias, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Avenue, Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356
Toan Thiet Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255
Sara L Turner, NP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-512-7562 Fax: 704-512-7576

Dr Lee Carl Pederson, MD - Medicare General Surgery in Charlotte, NC