David Warren Pederson, DPM in St Louis Park, MN

David Warren Pederson, DPM is a medicare enrolled "Podiatrist" provider in St Louis Park, Minnesota. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Park Nicollet Clinic and his current practice location is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3670.

David Warren Pederson is licensed to practice in Minnesota (license number 586) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487668919.

Contact Information

	David Warren Pederson, DPM
	3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503
	(952) 993-3670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Warren Pederson
Gender	Male
Speciality	Podiatry
Experience	29 Years
Location	3900 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Warren Pederson attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1995

NPI Data:

NPI Number: 1487668919
Provider Enumeration Date: 07/28/2006
Last Update Date: 03/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9335031210
Enrollment ID: I20060928000165

Medical Identifiers

Medical identifiers for David Warren Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487668919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	12/00327 (Kansas)	Secondary
213E00000X	Podiatrist	586 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital
St Francis Regional Medical Center	Shakopee, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. David Warren Pederson allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. David Warren Pederson 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
David Warren Pederson, DPM 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	David Warren Pederson, DPM 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 Ph: (952) 993-3670

Reviews and Comments

Podiatrist in St Louis Park, MN

Craig Stibal, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-7750
Stephen H Powless, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3900 Park Nicollet Blvd, Park Nicollet Clinic Slp, St Louis Park, MN 55416 Phone: 952-993-2794 Fax: 952-993-1955
Dr. Kyle Wayne Abben, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286
James Mazzuca, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-2794
Dr. Chloe Frances Sakow, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286
Jason Havey, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286

David Warren Pederson, DPM - Medicare Podiatrist in St Louis Park, MN