Mrs Jessica Elizabeth Pederson, MS CF/SLP is a
Speech-language Pathologist based in Palmhurst, Texas. Mrs Jessica Elizabeth Pederson is licensed to practice in Texas (license number 103864) and her current practice location is
1906 El Mileno Dr, Palmhurst, Texas. She can be reached at her office (for appointments etc.) via phone at
(956) 821-0103.
NPI number for Mrs Jessica Elizabeth Pederson is 1750543278 and her current mailing address is 1906 El Mileno Drive, Suite A-103, Palmhurst, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750543278.
Healthcare Provider's Profile
| Full Name | Mrs Jessica Elizabeth Pederson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1906 El Mileno Dr, Palmhurst, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750543278
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 08/08/2022
Medical Identifiers
Medical identifiers for Mrs Jessica Elizabeth Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750543278 | NPI | - | NPPES |
| 196103901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 103864 (Texas) | 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. Mrs Jessica Elizabeth 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 Jessica Elizabeth Pederson, MS CF/SLP
1906 El Mileno Drive, Suite A-103,
Palmhurst, TX 78573-1223
Ph: (956) 821-0103 | Mrs Jessica Elizabeth Pederson, MS CF/SLP
1906 El Mileno Dr,
Palmhurst, TX 78573-1223
Ph: (956) 821-0103 |
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