Ivy R Pedersen, PT in Fruita, CO - Medicare Physical Therapist Provider

Ivy R Pedersen, PT is a medicare enrolled "Physical Therapist" provider in Fruita, Colorado. Her current practice location is 300 W Ottley Ave, Fruita, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 858-2147.

Ivy R Pedersen is licensed to practice in Montana (license number 2360) 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 1598073637.

Contact Information

	Ivy R Pedersen, PT
	300 W Ottley Ave, Fruita, CO 81521-2118
	(970) 858-2147
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ivy R Pedersen
Gender	Female
Speciality	Physical Therapist
Location	300 W Ottley Ave, Fruita, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598073637
Provider Enumeration Date: 09/23/2010
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4284800947
Enrollment ID: I20111229000629

Medical Identifiers

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

Identifier	Type	State	Issuer
1598073637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	412 (Alaska)	Secondary
225100000X	Physical Therapist	297956 (California)	Secondary
225100000X	Physical Therapist	31008 (Arizona)	Secondary
225100000X	Physical Therapist	6531 (Idaho)	Secondary
225100000X	Physical Therapist	16627 (Colorado)	Secondary
225100000X	Physical Therapist	2360 (Montana)	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. Ivy R Pedersen allows following entities to bill medicare on her behalf.

Provider Name	Clearwater Therapeutics Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659600203 PECOS PAC ID: 3476688151 Enrollment ID: O20100319000430

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. Ivy 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
Ivy R Pedersen, PT 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-2147	Ivy R Pedersen, PT 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-2147

Reviews and Comments

Physical Therapist in Fruita, CO

Mrs. Janice K Gifford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 461 N Annabelle Ct, Fruita, CO 81521 Phone: 970-261-1231
Rachael Richards, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 551 Kokopelli Blvd Unit K, Fruita, CO 81521 Phone: 970-858-2572
Dawn Michelle Johnson, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 551 Kokopelli Blvd Unit E, Fruita, CO 81521 Phone: 970-858-2526 Fax: 970-858-8244
Mrs. Anouk J Kincaid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 556 Kokopelli Blvd B1 #f, Fruita, CO 81521 Phone: 970-858-2572
John Daniel Weirath, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 551 Kokopelli Blvd Unit E, Fruita, CO 81521 Phone: 970-858-2147 Fax: 970-858-4569
Family Health West Contract Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 551 Kokopelli Blvd Unit E, Fruita, CO 81521 Phone: 970-858-2575 Fax: 970-858-4569
Mary Ellen Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-3900 Fax: 970-885-2208

Ivy R Pedersen, PT - Medicare Physical Therapist in Fruita, CO