Lynne Marie Pedersen, DPT in Portland, OR - Medicare Physical Therapy Provider

Lynne Marie Pedersen, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice New Proactive Llc and her current practice location is 9828 East Burnside, Suite #250, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 254-3424.

Lynne Marie Pedersen is licensed to practice in Oregon (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184772600.

Contact Information

	Lynne Marie Pedersen, DPT
	9828 East Burnside, Suite #250, Portland, OR 97216-2365
	(503) 254-3424
	(503) 254-3635

Map and Direction

Healthcare Provider's Profile

Full Name	Lynne Marie Pedersen
Gender	Female
Speciality	Physical Therapy
Experience	28 Years
Location	9828 East Burnside, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lynne Marie Pedersen graduated from medical school in 1996

NPI Data:

NPI Number: 1184772600
Provider Enumeration Date: 01/08/2007
Last Update Date: 05/09/2014

Medicare PECOS Information:

PECOS PAC ID: 0840212684
Enrollment ID: I20220525001260

Medical Identifiers

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

Identifier	Type	State	Issuer
1184772600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4951 (Oregon)	Secondary
225100000X	Physical Therapist	PT00007233 (Washington)	Secondary
225100000X	Physical Therapist	(Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New Proactive Llc	7315218708	36

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. Lynne Marie Pedersen allows following entities to bill medicare on her behalf.

Provider Name	New Proactive Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170803000697

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. Lynne Marie 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
Lynne Marie Pedersen, DPT 9828 East Burnside, Suite #250, Portland, OR 97216-2365 Ph: (503) 254-3424	Lynne Marie Pedersen, DPT 9828 East Burnside, Suite #250, Portland, OR 97216-2365 Ph: (503) 254-3424

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Lynne Marie Pedersen, DPT - Medicare Physical Therapist in Portland, OR