Jenna Pederson, - Medicare Nurse Practitioner in Oak Park, IL

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Jenna Pederson, is a medicare enrolled "Nurse Practitioner - Family" in Oak Park, Illinois. Her current practice location is 3 Erie Ct Ste 1300, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 406-3929.

Jenna Pederson is licensed to practice in Illinois (license number 209.014598) 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 1063966158.

Contact Information

Jenna Pederson,
3 Erie Ct Ste 1300,
Oak Park, IL 60302-2519
(708) 406-3929
(708) 406-3935

Map and Direction




Provider's Profile

Full NameJenna Pederson
GenderFemale
SpecialityNurse Practitioner - Family
Location3 Erie Ct Ste 1300, Oak Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063966158
  • Provider Enumeration Date: 08/07/2016
  • Last Update Date: 01/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880973742
  • Enrollment ID: I20161116001996

Medical Identifiers

Medical identifiers for Jenna Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063966158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.014598 (Illinois)Primary

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. Jenna Pederson allows following entities to bill medicare on her behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NamePcc Community Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871516799
PECOS PAC ID: 1557270139
Enrollment ID: O20040206000415

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. Jenna 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 AddressPractice Location Address
Jenna Pederson,
641 W Grand Ave Apt 4,
Chicago, IL 60654-5534

Ph: (612) 205-7959		Jenna Pederson,
3 Erie Ct Ste 1300,
Oak Park, IL 60302-2519

Ph: (708) 406-3929

Reviews and Comments


Nurse Practitioner Nurses in Oak Park, IL

Karen Ann B Denkov, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3 Erie Ct, Oak Park, IL 60302
Phone: 708-763-1476    
Travis Andrew Tirpak, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Erie Ct, Oak Park, IL 60302
Phone: 708-763-6747    
Lauren Marion, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Lake St Ste 619, Oak Park, IL 60301
Phone: 708-524-1400    
Richard Henry Logan, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1010 Lake St Ste 110, Oak Park, IL 60301
Phone: 331-529-7413    Fax: 877-428-7891
Brandy J Hatcher, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 S Maple Ave Ste 5900, Oak Park, IL 60304
Phone: 708-660-5400    Fax: 708-660-5401
Kristin Ann Green, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Madison St Ste 300, Oak Park, IL 60302
Phone: 708-486-2700    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.