Dr Glenn Jay Pedersen, DC is a medicare enrolled "Chiropractor" provider in Paoli, Indiana. He went to National College Of Chiropractic and graduated in 1982 and has 42 years of diverse experience with area of expertise as Chiropractic. His current practice location is
421 Sw 1st St, Paoli, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 252-2225.
Dr Glenn Jay Pedersen is licensed to practice in Indiana (license number 08000852A) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1083706162.
Healthcare Provider's Profile
| Full Name | Dr Glenn Jay Pedersen |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 42 Years |
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| Location | 421 Sw 1st St, Paoli, Indiana |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Glenn Jay Pedersen attended and graduated from National College Of Chiropractic in 1982
NPI Data:
- NPI Number: 1083706162
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 01/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 8921005513
- Enrollment ID: I20190103001937
Medical Identifiers
Medical identifiers for Dr Glenn Jay Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083706162 | NPI | - | NPPES |
| 01682626 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 08000852A (Indiana) | 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. Dr Glenn Jay 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 Glenn Jay Pedersen, DC
421 Sw 1st St,
Paoli, IN 47454-1103
Ph: (812) 252-2225 | Dr Glenn Jay Pedersen, DC
421 Sw 1st St,
Paoli, IN 47454
Ph: (812) 252-2225 |
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