Dr Marshall E Pedersen, MD is a medicare enrolled "Neurological Surgery" physician in Utica, New York. His current practice location is
1656 Champlin Ave, Utica, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 624-6000.
Dr Marshall E Pedersen is licensed to practice in New York (license number 126996) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295799781.
Physician's Profile
| Full Name | Dr Marshall E Pedersen |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 1656 Champlin Ave, Utica, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295799781
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 04/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 4082650510
- Enrollment ID: I20050706000378
Medical Identifiers
Medical identifiers for Dr Marshall E Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295799781 | NPI | - | NPPES |
| 02650237 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 126996 (New York) | 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 Marshall E Pedersen allows following entities to bill medicare on his behalf.
| Entity Name | Mvhs Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433 |
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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 Marshall E 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 |
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Dr Marshall E Pedersen, MD
2209 Genesee St, Business Office,
Utica, NY 13501-5930
Ph: (315) 801-3282 | Dr Marshall E Pedersen, MD
1656 Champlin Ave,
Utica, NY 13502-4830
Ph: (315) 624-6000 |
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