Ryan D Pederson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Coos Bay, Oregon. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice North Bend Medical Center Inc and his current practice location is
1900 Woodland Dr, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 267-5151.
Ryan D Pederson is licensed to practice in Oregon (license number DP151127) 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 1063605384.
Healthcare Provider's Profile
| Full Name | Ryan D Pederson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 1900 Woodland Dr, Coos Bay, Oregon |
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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:
- Ryan D Pederson graduated from medical school in 2007
NPI Data:
- NPI Number: 1063605384
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 03/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991839409
- Enrollment ID: I20100819000887
Medical Identifiers
Medical identifiers for Ryan D Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063605384 | NPI | - | NPPES |
| 500623170 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP151127 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Bend Medical Center Inc | 5597677716 | 79 |
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. Ryan D Pederson allows following entities to bill medicare on his behalf.
| Provider Name | North Bend Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
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| Provider Name | South Coast Orthopaedic Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245284751
PECOS PAC ID: 2062408131
Enrollment ID: O20040423000168 |
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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. Ryan D 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 |
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Ryan D Pederson, DPM
1900 Woodland Dr,
Coos Bay, OR 97420-2099
Ph: (541) 269-5151 | Ryan D Pederson, DPM
1900 Woodland Dr,
Coos Bay, OR 97420-2099
Ph: (541) 267-5151 |
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