John C Pedersen, MD is a
Plastic Surgery physician based in Fairlawn, Ohio. John C Pedersen is licensed to practice in Ohio (license number 35--070058) and his current practice location is 270 S Cleveland Massillon Rd Ste C, Fairlawn, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 443-0221.
NPI number for John C Pedersen is 1396723409 and his current mailing address is 270 S Cleveland Massillon Rd Ste C, Fairlawn, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396723409.
Physician's Profile
| Full Name | John C Pedersen |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 270 S Cleveland Massillon Rd Ste C, Fairlawn, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396723409
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 10/18/2021
Medical Identifiers
Medical identifiers for John C Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396723409 | NPI | - | NPPES |
| 0435666 | Medicaid | OH | |
| 1942892237 | Other | OH | NPI2 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 35--070058 (Ohio) | Primary |
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. John C Pedersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John C Pedersen, MD
270 S Cleveland Massillon Rd Ste C,
Fairlawn, OH 44333-6000
Ph: (330) 443-0221 | John C Pedersen, MD
270 S Cleveland Massillon Rd Ste C,
Fairlawn, OH 44333-6000
Ph: (330) 443-0221 |
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