Ms Kathy Jane Pedersen, PA-C, MPAS - Family Medicine in Salt Lake City, UT

Ms Kathy Jane Pedersen, PA-C, MPAS is a Family Medicine physician based in Salt Lake City, Utah. Ms Kathy Jane Pedersen is licensed to practice in Utah (license number 102701-1206) and her current practice location is 4745 S 3200 W, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 964-6214.

NPI number for Ms Kathy Jane Pedersen is 1265419022 and her current mailing address is 4745 S 3200 W, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265419022.

Contact Information

Ms Kathy Jane Pedersen, PA-C, MPAS
4745 S 3200 W,
Salt Lake City, UT 84118-2822
(801) 964-6214
Not Available

Map and Direction




Physician's Profile

Full NameMs Kathy Jane Pedersen
GenderFemale
SpecialityFamily Medicine
Location4745 S 3200 W, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265419022
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 07/19/2007

Medical Identifiers

Medical identifiers for Ms Kathy Jane Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265419022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 102701-1206 (Utah)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. Ms Kathy Jane 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 AddressPractice Location Address
Ms Kathy Jane Pedersen, PA-C, MPAS
4745 S 3200 W,
Salt Lake City, UT 84118-2822

Ph: (801) 964-6214
Ms Kathy Jane Pedersen, PA-C, MPAS
4745 S 3200 W,
Salt Lake City, UT 84118-2822

Ph: (801) 964-6214

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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