| Alexander David Pederson, MD | |
|
211 S 3rd St, Dept Of Pathology, Belleville, IL 62220-1915 | |
| (618) 234-2120 | |
| (618) 222-4630 |
| Full Name | Alexander David Pederson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 211 S 3rd St, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841307899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036-124938 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | West burlington, IA | Hospital |
| University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
| Henry County Health Center | Mount pleasant, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 252 |
| Henry County Health Center Inc | 9638570740 | 38 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Entity Name | Henry County Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander David Pederson, MD Po Box 144333, Orlando, FL 32814-4333 Ph: (407) 422-9831 | Alexander David Pederson, MD 211 S 3rd St, Dept Of Pathology, Belleville, IL 62220-1915 Ph: (618) 234-2120 |
Dr. Vidya Deshpande, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 45 Sheffield Drive, Belleville, IL 62243 Phone: 618-235-0777 Fax: 618-233-8335 | |
Dr. Olivia Jo Ludwig, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Christopher Murphy, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Dr. David Jeffrey Eisenstein, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Pathology, Belleville, IL 62226 Phone: 618-233-7750 Fax: 314-747-1710 | |
Dolph D Haege, MD Pathology Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Frank Pikul, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 613 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-233-6975 Fax: 618-233-9047 |