Marissa Pederson, DNP, APNP, FNP-C in La Crosse, WI

Marissa Pederson, DNP, APNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in La Crosse, Wisconsin. Her current practice location is 1910 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Marissa Pederson is licensed to practice in Wisconsin (license number 10360-33) 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 1447865142.

Contact Information

	Marissa Pederson, DNP, APNP, FNP-C
	1910 South Ave, La Crosse, WI 54601-5467
	(608) 782-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Marissa Pederson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1910 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447865142
Provider Enumeration Date: 09/10/2020
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4981074259
Enrollment ID: I20221230002037

Medical Identifiers

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

Identifier	Type	State	Issuer
1447865142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10360-33 (Wisconsin)	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. Marissa Pederson allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Marissa 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
Marissa Pederson, DNP, APNP, FNP-C 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Marissa Pederson, DNP, APNP, FNP-C 1910 South Ave, La Crosse, WI 54601-5467 Ph: (608) 782-7300

Reviews and Comments

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Marissa Pederson, DNP, APNP, FNP-C - Medicare Nurse Practitioner in La Crosse, WI