Glenn A Pederson, in Jackson, MS - Medicare Nurse Practitioner

Glenn A Pederson, is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Paragon Emergency Services Llc and his current practice location is 1850 Chadwick Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 376-2944.

Glenn A Pederson is licensed to practice in Mississippi (license number R878258) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811171408.

Contact Information

	Glenn A Pederson,
	1850 Chadwick Dr, Jackson, MS 39204-3404
	(601) 376-2944
	Not Available

Map and Direction

Provider's Profile

Full Name	Glenn A Pederson
Gender	Male
Speciality	Nurse Practitioner
Experience	30 Years
Location	1850 Chadwick Dr, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glenn A Pederson graduated from nursing school in 1994

NPI Data:

NPI Number: 1811171408
Provider Enumeration Date: 12/19/2007
Last Update Date: 07/09/2010

Medicare PECOS Information:

PECOS PAC ID: 2163584939
Enrollment ID: I20090311000319

Medical Identifiers

Medical identifiers for Glenn A Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811171408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R878258 (Mississippi)	Primary
207P00000X	Emergency Medicine	ARNP1604312 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paragon Emergency Services Llc	8628153087	214

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. Glenn A Pederson allows following entities to bill medicare on his behalf.

Entity Name	Adventist Health System/sunbelt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

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. Glenn A Pederson 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
Glenn A Pederson, 18167 Us Highway 19 N, Suite 285, Clearwater, FL 33764-3528 Ph: () -	Glenn A Pederson, 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-2944

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Glenn A Pederson, - Medicare Nurse Practitioner in Jackson, MS