Dr Jasen Thomas Pedersen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Crestwood, Kentucky. He went to Kent State University College Of Podiatric Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. His current practice location is
6400 Westwind Way, Suite B, Crestwood, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 276-9999.
Dr Jasen Thomas Pedersen is licensed to practice in Kentucky (license number 243971) 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 1114182326.
Healthcare Provider's Profile
| Full Name | Dr Jasen Thomas Pedersen |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 16 Years |
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| Location | 6400 Westwind Way, Crestwood, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jasen Thomas Pedersen attended and graduated from Kent State University College Of Podiatric Medicine in 2008
NPI Data:
- NPI Number: 1114182326
- Provider Enumeration Date: 07/28/2008
- Last Update Date: 04/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507035565
- Enrollment ID: I20110808000621
Medical Identifiers
Medical identifiers for Dr Jasen Thomas Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114182326 | NPI | - | NPPES |
| 7100170810 | Medicaid | KY | |
| 000000866560 | Other | KY | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 243971 (Kentucky) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 243971 (Kentucky) | 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. Dr Jasen Thomas Pedersen allows following entities to bill medicare on his behalf.
| Provider Name | Oldham County Foot & Ankle Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376969105
PECOS PAC ID: 3577795640
Enrollment ID: O20140404000588 |
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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. Dr Jasen Thomas 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 |
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Dr Jasen Thomas Pedersen, DPM
6400 Westwind Way, Suite B,
Crestwood, KY 40014-6773
Ph: (502) 276-9999 | Dr Jasen Thomas Pedersen, DPM
6400 Westwind Way, Suite B,
Crestwood, KY 40014-6773
Ph: (502) 276-9999 |
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