Jeffrey Allen Pederson, DO | |
12493 University Ave Ste 100, Clive, IA 50325-8286 | |
(515) 358-9461 | |
(515) 358-9489 |
Full Name | Jeffrey Allen Pederson |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 19 Years |
Location | 12493 University Ave Ste 100, Clive, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285756486 | NPI | - | NPPES |
164196 | Other | IA | HEALTH ALLIANCE |
500301 | Other | IA | COVENTRY HEALTH CARE |
Facility Name | Location | Facility Type |
---|---|---|
Knoxville Hospital & Clinics | Knoxville, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Orthopaedics And Sports Medicine Pc | 3476691551 | 19 |
Entity Name | Knoxville Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
Entity Name | Capital Orthopaedics And Sports Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932432457 PECOS PAC ID: 3476691551 Enrollment ID: O20091110000451 |
Entity Name | Integrated Rehab Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20190102001971 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Allen Pederson, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 358-9461 | Jeffrey Allen Pederson, DO 12493 University Ave Ste 100, Clive, IA 50325-8286 Ph: (515) 358-9461 |
Joseph J Chen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1401 Campus Dr, Clive, IA 50325 Phone: 877-749-7428 Fax: 512-628-3314 | |
Dr. Donna J Bahls, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12499 University Ave, Suite 210, Clive, IA 50325 Phone: 515-327-1555 Fax: 515-327-1444 | |
Logan Charles Mccool, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1401 Campus Dr, Clive, IA 50325 Phone: 515-381-6519 | |
Ai Huong Phu, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12493 University Ave Ste 100, Clive, IA 50325 Phone: 515-358-9461 Fax: 515-358-9489 |