William R Pedersen, OD in Maryville, TN - Medicare Optometrist Provider

William R Pedersen, OD is a medicare enrolled "Optometrist" provider in Maryville, Tennessee. His current practice location is 730 W Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 982-2020.

William R Pedersen is licensed to practice in Tennessee (license number OD0000000552) 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 1568461564.

Contact Information

	William R Pedersen, OD
	730 W Lamar Alexander Pkwy, Maryville, TN 37801-3900
	(865) 982-2020
	(865) 970-2020

Map and Direction

Healthcare Provider's Profile

Full Name	William R Pedersen
Gender	Male
Speciality	Optometrist
Location	730 W Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568461564
Provider Enumeration Date: 07/20/2005
Last Update Date: 09/15/2014

Medicare PECOS Information:

PECOS PAC ID: 4486787074
Enrollment ID: I20100803000768

Medical Identifiers

Medical identifiers for William R Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568461564	NPI	-	NPPES
602004601	Other		CARITEN
620927830	Other		UNITED HEALTHCARE
2005369	Other	TN	BLUE CROSS BLUE SHIELD
620927830	Other		CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD0000000552 (Tennessee)	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. William R Pedersen allows following entities to bill medicare on his behalf.

Provider Name	Steven D. Elliott, O.d. & Associates, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871762856 PECOS PAC ID: 3577752526 Enrollment ID: O20110106000948

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. William R 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
William R Pedersen, OD 730 W Lamar Alexander Pkwy, Maryville, TN 37801-3900 Ph: (865) 982-2020	William R Pedersen, OD 730 W Lamar Alexander Pkwy, Maryville, TN 37801-3900 Ph: (865) 982-2020

Reviews and Comments

Optometrist in Maryville, TN

University Eye Specialists, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 622 Smithview Dr, Maryville, TN 37803 Phone: 865-681-1234 Fax: 865-982-9746
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 Alcoa Market Street, Maryville, TN 37801 Phone: 865-324-8290
Karin Rodriguez Moore, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2410 Us Highway 411 S, Maryville, TN 37801 Phone: 865-681-8267
Envision Family Eyecare, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 333 E Harper Ave, Maryville, TN 37804 Phone: 865-982-6110 Fax: 865-977-7243
Dr Michael T Kolarik Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 286 Cherokee Professional Park, Maryville, TN 37804 Phone: 865-984-6931 Fax: 865-983-3937
William R Pedersen Optometrist Medicare: Not Enrolled in Medicare Practice Location: 730 West Lamar Alexander Pkwy, Maryville, TN 37801 Phone: 865-982-2020 Fax: 865-970-2020
Hannah Garlyn Hughes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 622 Smithview Dr, Maryville, TN 37803 Phone: 865-244-2020

William R Pedersen, OD - Medicare Optometrist in Maryville, TN