James Severin Pedersen Ii, PT, DPT is a
Physical Therapist based in Glasco, New York. James Severin Pedersen Ii is licensed to practice in New York (license number ) and his current practice location is
96 York Street, Glasco, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 802-3543.
NPI number for James Severin Pedersen Ii is 1548845712 and his current mailing address is Po Box 182, Glasco, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548845712.
Healthcare Provider's Profile
| Full Name | James Severin Pedersen Ii |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 96 York Street, Glasco, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548845712
- Provider Enumeration Date: 03/10/2021
- Last Update Date: 03/10/2021
Medical Identifiers
Medical identifiers for James Severin Pedersen Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548845712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (New York) | Primary |
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. James Severin Pedersen Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James Severin Pedersen Ii, PT, DPT
Po Box 182,
Glasco, NY 12432-0182
Ph: (845) 802-3543 | James Severin Pedersen Ii, PT, DPT
96 York Street,
Glasco, NY 12432
Ph: (845) 802-3543 |
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