Jennifer Marie Pederson, RN is a
Registered Nurse - Ambulatory Care based in Bangor, Wisconsin. Jennifer Marie Pederson is licensed to practice in Wisconsin (license number 172543-30) and her current practice location is
807 Meadowview St, Bangor, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 792-5816.
NPI number for Jennifer Marie Pederson is 1750080016 and her current mailing address is 807 Meadowview St, Bangor, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750080016.
Provider's Profile
Full Name | Jennifer Marie Pederson |
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Gender | Female |
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Speciality | Registered Nurse - Ambulatory Care |
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Location | 807 Meadowview St, Bangor, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750080016
- Provider Enumeration Date: 02/27/2023
- Last Update Date: 02/27/2023
Medical Identifiers
Medical identifiers for Jennifer Marie Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750080016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP2201X | Registered Nurse - Ambulatory Care | 172543-30 (Wisconsin) | 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. Jennifer Marie Pederson 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 |
Jennifer Marie Pederson, RN 807 Meadowview St, Bangor, WI 54614-9245 Ph: (608) 792-5816 | Jennifer Marie Pederson, RN 807 Meadowview St, Bangor, WI 54614-9245 Ph: (608) 792-5816 |
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