Andrea Pedersen, NP in Livermore, CA - Medicare Nurse Practitioner

Andrea Pedersen, NP is a medicare enrolled "Nurse Practitioner" in Livermore, California. Her current practice location is 822 S M St, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (925) 922-0299.

Andrea Pedersen is licensed to practice in California (license number 22243) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356689871.

Contact Information

	Andrea Pedersen, NP
	822 S M St, Livermore, CA 94550-4409
	(925) 922-0299
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Pedersen
Gender	Female
Speciality	Nurse Practitioner
Location	822 S M St, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356689871
Provider Enumeration Date: 01/17/2013
Last Update Date: 11/17/2016

Medicare PECOS Information:

PECOS PAC ID: 2365875051
Enrollment ID: I20191211001224

Medical Identifiers

Medical identifiers for Andrea Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356689871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	22243 (California)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	22243 (California)	Secondary

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. Andrea Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Ucsf Pediatrics Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Dept Of Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Andrea 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
Andrea Pedersen, NP 822 S M St, Livermore, CA 94550-4409 Ph: (925) 922-0299	Andrea Pedersen, NP 822 S M St, Livermore, CA 94550-4409 Ph: (925) 922-0299

Reviews and Comments

Nurse Practitioner Nurses in Livermore, CA

Ms. Andrea E Picchi, MS, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Las Positas Rd, Livermore, CA 94551 Phone: 925-243-4416 Fax: 925-243-4420
Donna Kay Bierut, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1985 First St Ste 205, Livermore, CA 94550 Phone: 925-484-5483 Fax: 925-484-5427
Maruska Sanchez, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5348 Treeflower Dr, Livermore, CA 94551 Phone: 925-963-3387
Mrs. Rebecca Lynne Macisaac, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7000 East Ave, Livermore, CA 94550 Phone: 925-422-8920
Emily A Matthew, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 Hanover St, Livermore, CA 94551 Phone: 202-517-3154
Lisa Michelle Banke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6999 Arroyo Rd, Livermore, CA 94550 Phone: 925-784-9253
Rukhsana Munaf Gross, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Bridle Path Ct, Livermore, CA 94551 Phone: 925-980-1565

Andrea Pedersen, NP - Medicare Nurse Practitioner in Livermore, CA