Mrs Amy Beth Pederson, MA, CCC-SLP is a
Speech-language Pathologist based in Rockford, Minnesota. Mrs Amy Beth Pederson is licensed to practice in Minnesota (license number 7434) and her current practice location is
7006 Greenwood Ct, Rockford, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 961-8310.
NPI number for Mrs Amy Beth Pederson is 1083745244 and her current mailing address is Po Box 266, Rockford, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083745244.
Healthcare Provider's Profile
Full Name | Mrs Amy Beth Pederson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 7006 Greenwood Ct, Rockford, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083745244
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 04/01/2009
Medical Identifiers
Medical identifiers for Mrs Amy Beth Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083745244 | NPI | - | NPPES |
4601172 | Other | | MEDICA PROVIDER NUMBER |
146T2PE | Other | MN | BCBS PARTICIPAT. PROVID.# |
5727164 | Other | MN | MINNESOTA TAX ID # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7434 (Minnesota) | Primary |
235Z00000X | Speech-language Pathologist | FILE FOLDER # 389213 (Minnesota) | Secondary |
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. Mrs Amy Beth Pederson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amy Beth Pederson, MA, CCC-SLP Po Box 266, Rockford, MN 55373-0266 Ph: (612) 961-8310 | Mrs Amy Beth Pederson, MA, CCC-SLP 7006 Greenwood Ct, Rockford, MN 55373-4581 Ph: (612) 961-8310 |
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