Jennifer Pedersen, CRNA - Medicare Nurse Anesthetist, Certified Registered in Phoenix, AZ

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Jennifer Pedersen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. Her current practice location is 1850 N Central Ave Ste 1600, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 262-8900.

Jennifer Pedersen is licensed to practice in Arizona (license number CRNA1062) 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 1497086912.

Contact Information

Jennifer Pedersen, CRNA
1850 N Central Ave Ste 1600,
Phoenix, AZ 85004-4633
(602) 262-8900
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Pedersen
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1850 N Central Ave Ste 1600, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497086912
  • Provider Enumeration Date: 01/22/2010
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911031612
  • Enrollment ID: I20141208000814

Medical Identifiers

Medical identifiers for Jennifer Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497086912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704275352 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704275352 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA1062 (Arizona)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. Jennifer Pedersen allows following entities to bill medicare on her behalf.
Entity NameCigna Healthcare Of Arizona Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1265536270
PECOS PAC ID: 1456263573
Enrollment ID: O20040226001099
Entity NameSunset Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841561347
PECOS PAC ID: 3779746375
Enrollment ID: O20120517000676
Entity NameCoronado Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336569581
PECOS PAC ID: 4880814755
Enrollment ID: O20140929000987

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 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 AddressPractice Location Address
Jennifer Pedersen, CRNA
645 E Missouri Ave, Ste 300,
Phoenix, AZ 85012-1351

Ph: (602) 262-8917		Jennifer Pedersen, CRNA
1850 N Central Ave Ste 1600,
Phoenix, AZ 85004-4633

Ph: (602) 262-8900

Reviews and Comments


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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.