Clark Pedersen, RN is a
Registered Nurse - School based in Cairo, Nebraska. Clark Pedersen is licensed to practice in Nebraska (license number 72872) and his current practice location is
201 Highway 11, Cairo, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(308) 485-4258.
NPI number for Clark Pedersen is 1679106728 and his current mailing address is Po Box 430, Cairo, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679106728.
Provider's Profile
Full Name | Clark Pedersen |
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Gender | Male |
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Speciality | Registered Nurse - School |
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Location | 201 Highway 11, Cairo, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679106728
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 03/10/2020
Medical Identifiers
Medical identifiers for Clark Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679106728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | 72872 (Nebraska) | 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. Clark 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 |
Clark Pedersen, RN Po Box 430, Cairo, NE 68824-0430 Ph: (308) 485-4258 | Clark Pedersen, RN 201 Highway 11, Cairo, NE 68824-2014 Ph: (308) 485-4258 |
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