Ryan Thomas Pederson, ARNP in Lynnwood, WA - Medicare Nurse Practitioner

Ryan Thomas Pederson, ARNP is a medicare enrolled "Nurse Practitioner" in Lynnwood, Washington. His current practice location is 5729 181st Pl Sw, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 290-9067.

Ryan Thomas Pederson is licensed to practice in Washington (license number AP61196922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336814862.

Contact Information

	Ryan Thomas Pederson, ARNP
	5729 181st Pl Sw, Lynnwood, WA 98037-7312
	(509) 290-9067
	Not Available

Map and Direction

Provider's Profile

Full Name	Ryan Thomas Pederson
Gender	Male
Speciality	Nurse Practitioner
Location	5729 181st Pl Sw, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336814862
Provider Enumeration Date: 08/16/2021
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6406245950
Enrollment ID: I20211123000391

Medical Identifiers

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

Identifier	Type	State	Issuer
1336814862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61196922 (Washington)	Primary
163W00000X	Registered Nurse	RN60552083 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	F06211579 (Washington)	Secondary

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. Ryan Thomas Pederson allows following entities to bill medicare on his behalf.

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447484274 PECOS PAC ID: 6608056171 Enrollment ID: O20130213000571

Entity Name	Grays Harbor County Public Hospital District No 1
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20140311001671

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. Ryan Thomas 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
Ryan Thomas Pederson, ARNP 5729 181st Pl Sw, Lynnwood, WA 98037-7312 Ph: (509) 290-9067	Ryan Thomas Pederson, ARNP 5729 181st Pl Sw, Lynnwood, WA 98037-7312 Ph: (509) 290-9067

Reviews and Comments

Nurse Practitioner Nurses in Lynnwood, WA

Mishele M Rutherford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20508 56th Ave W, Lynnwood, WA 98036 Phone: 206-743-1020
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Valerie Michele White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 425-616-4100
Amber Melland Wilson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 188th St Sw Ste 250, Lynnwood, WA 98037 Phone: 425-236-4203
Bridget Noorishad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119
Liqiong Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19401 40th Ave W Ste 230, Lynnwood, WA 98036 Phone: 425-744-7153
Ms. Kimberly 'kimmer' Verlynn Collison-ris, MSN, ARNP, WOCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16425 48th Ave W, Suite 215, Lynnwood, WA 98037 Phone: 425-210-4187 Fax: 425-361-1704

Ryan Thomas Pederson, ARNP - Medicare Nurse Practitioner in Lynnwood, WA