Ms Judith Louise Pedersen, RN is a
Registered Nurse based in Berry Creek, California. Ms Judith Louise Pedersen is licensed to practice in California (license number 180338) and her current practice location is
90 Starcrest Ln, Berry Creek, California. She can be reached at her office (for appointments etc.) via phone at
(530) 589-4659.
NPI number for Ms Judith Louise Pedersen is 1548311574 and her current mailing address is 90 Starcrest Ln, Berry Creek, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548311574.
Provider's Profile
| Full Name | Ms Judith Louise Pedersen |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 90 Starcrest Ln, Berry Creek, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548311574
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Judith Louise Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548311574 | NPI | - | NPPES |
| 180338 | Other | CA | NURSING LICENSE |
| RVN004240 | Medicaid | CA | |
| EPS016050 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 180338 (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. Ms Judith Louise Pedersen 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 |
|---|
Ms Judith Louise Pedersen, RN
90 Starcrest Ln,
Berry Creek, CA 95916-9756
Ph: (530) 589-4659 | Ms Judith Louise Pedersen, RN
90 Starcrest Ln,
Berry Creek, CA 95916-9756
Ph: (530) 589-4659 |
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