Mary Makenna Pedersen, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Jefferson, Iowa. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Greene County Medical Center and her current practice location is
1000 W Lincoln Way, Jefferson, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 386-0500.
Mary Makenna Pedersen is licensed to practice in Iowa (license number A165415) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700554979.
Provider's Profile
| Full Name | Mary Makenna Pedersen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1000 W Lincoln Way, Jefferson, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Makenna Pedersen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1700554979
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941608038
- Enrollment ID: I20211004001717
Medical Identifiers
Medical identifiers for Mary Makenna Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700554979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | A165415 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greene County Medical Center | 0143208595 | 13 |
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. Mary Makenna Pedersen allows following entities to bill medicare on her behalf.
| Entity Name | Greene County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245260652
PECOS PAC ID: 0143208595
Enrollment ID: O20040712000717 |
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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. Mary Makenna 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 Address | Practice Location Address |
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Mary Makenna Pedersen, FNP-C
1000 W Lincoln Way,
Jefferson, IA 50129-1645
Ph: (515) 386-0500 | Mary Makenna Pedersen, FNP-C
1000 W Lincoln Way,
Jefferson, IA 50129-1645
Ph: (515) 386-0500 |
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