Heather Pedersen, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Clovis, California. Her current practice location is
264 Clovis Ave # 104, Clovis, California. You can reach out to her office (for appointments etc.) via phone at
(559) 777-9061.
Heather Pedersen is licensed to practice in California (license number PSY31209) 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 1083032635.
Healthcare Provider's Profile
| Full Name | Heather Pedersen |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 264 Clovis Ave # 104, Clovis, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Heather Pedersen attended and graduated from in
NPI Data:
- NPI Number: 1083032635
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 04/21/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Heather Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083032635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0700X | Psychologist - Adult Development & Aging | PSY31209 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY31209 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY31209 (California) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSY31209 (California) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PSY31209 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY31209 (California) | Primary |
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. Heather 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 |
|---|
Heather Pedersen, PHD
264 Clovis Avenue #104, 264 Clovis Avenue #104,
Clovis, CA 93612
Ph: (559) 777-9061 | Heather Pedersen, PHD
264 Clovis Ave # 104,
Clovis, CA 93612-1115
Ph: (559) 777-9061 |
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