Justin Pedersen, DPT in Holland, MI - Medicare Physical Therapist Provider

Justin Pedersen, DPT is a medicare enrolled "Physical Therapist" provider in Holland, Michigan. His current practice location is 437 Butternut Dr, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 355-3055.

Justin Pedersen is licensed to practice in Michigan (license number 5501303026) 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 1760252670.

Contact Information

	Justin Pedersen, DPT
	437 Butternut Dr, Holland, MI 49424-1577
	(616) 355-3055
	(616) 317-5269

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Pedersen
Gender	Male
Speciality	Physical Therapist
Location	437 Butternut Dr, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760252670
Provider Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3274985395
Enrollment ID: I20240113000712

Medical Identifiers

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

Identifier	Type	State	Issuer
1760252670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501303026 (Michigan)	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. Justin Pedersen allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Justin 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
Justin Pedersen, DPT Po Box 412031, Boston, MA 02241-2031 Ph: (914) 294-4050	Justin Pedersen, DPT 437 Butternut Dr, Holland, MI 49424-1577 Ph: (616) 355-3055

Reviews and Comments

Physical Therapist in Holland, MI

Nicholas Russell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141
Nephew Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 91 Douglas Ave Ste 140, Holland, MI 49424 Phone: 616-796-9391 Fax: 888-714-4474
Mr. Nathan Edward Dykema, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 730 Chicago Dr, Holland, MI 49423 Phone: 616-796-6781 Fax: 616-796-6782
Michelle Van Oss, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Washington Ave Ste 200, Holland, MI 49423 Phone: 616-392-9430 Fax: 616-392-5257
Mrs. Alison Pothoven, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 E 40th St, Holland, MI 49423 Phone: 616-566-5683
Christy Marie Olgine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Michigan Ave, Suite 220, Holland, MI 49423 Phone: 616-355-4284 Fax: 616-355-4285
Aaron Huizenga, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3290 N Wellness Dr, Holland, MI 49424 Phone: 616-294-4066

Justin Pedersen, DPT - Medicare Physical Therapist in Holland, MI