Dr William Pederson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Kerrville, Texas. His current practice location is
500 Thompson Dr, Kerrville, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 257-6553.
Dr William Pederson is licensed to practice in Texas (license number D3364) 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 1295952364.
Healthcare Provider's Profile
Full Name | Dr William Pederson |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 500 Thompson Dr, Kerrville, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295952364
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 03/24/2008
Medicare PECOS Information:
- PECOS PAC ID: 2466532239
- Enrollment ID: I20080107000141
Medical Identifiers
Medical identifiers for Dr William Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295952364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TP0016X | Psychologist - Prescribing (medical) | D3364 (Texas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | D3364 (Texas) | 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 William Pederson allows following entities to bill medicare on his behalf.
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
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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 William 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 |
Dr William Pederson, MD 819 Water St, Suite 300, Kerrville, TX 78028-5333 Ph: (830) 792-3300 | Dr William Pederson, MD 500 Thompson Dr, Kerrville, TX 78028-5144 Ph: (830) 257-6553 |
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