Dr Jennifer Elyse Pedersen, DC is a medicare enrolled "Chiropractor" provider in Detroit Lakes, Minnesota. She went to Northwestern College Of Chiropractic and graduated in 2001 and has 25 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
1131 Jackson Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 844-5050.
Dr Jennifer Elyse Pedersen is licensed to practice in Minnesota (license number 4079) 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 1689759383.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Elyse Pedersen |
|---|
| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 25 Years |
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| Location | 1131 Jackson Ave, Detroit Lakes, Minnesota |
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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:
- Dr Jennifer Elyse Pedersen attended and graduated from Northwestern College Of Chiropractic in 2001
NPI Data:
- NPI Number: 1689759383
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163463662
- Enrollment ID: I20050516000115
Medical Identifiers
Medical identifiers for Dr Jennifer Elyse Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689759383 | NPI | - | NPPES |
| 020960100 | Medicaid | MN | |
| 242T6NO | Other | | CLINIC # |
| 350002650 | Other | | MEDICARE PROVIDER # |
| 134208196 | Other | | EMPLOYER # FED # |
| 4079 | Other | | LICENSE # |
| 0908 | Other | | HSM |
| 242T7PE | Other | | BCBS PROVIDER # |
| 89749 | Other | | HEALTH PARTNERS |
| 647163 | Other | | CHIROCARE # |
| P00229402 | Other | | RAILROAD |
| 020960100 | Other | | MHCP HEALTH CARE |
| 575 | Other | | ACCUPUNCTURE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 575 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 4079 (Minnesota) | 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 Jennifer Elyse Pedersen allows following entities to bill medicare on her behalf.
| Provider Name | Northland Chiropractic Center PA |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821116682
PECOS PAC ID: 5890954994
Enrollment ID: O20120308000866 |
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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 Jennifer Elyse 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 |
|---|
Dr Jennifer Elyse Pedersen, DC
1131 Jackson Ave,
Detroit Lakes, MN 56501-3618
Ph: (218) 844-5050 | Dr Jennifer Elyse Pedersen, DC
1131 Jackson Ave,
Detroit Lakes, MN 56501-3618
Ph: (218) 844-5050 |
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