Jeffrey Allen Pederson, DO - Medicare Physical Medicine And Rehabilitation in Clive, IA

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Jeffrey Allen Pederson, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Clive, Iowa. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2005 and has 19 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Capital Orthopaedics And Sports Medicine Pc and his current practice location is 12493 University Ave Ste 100, Clive, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 358-9461.

Jeffrey Allen Pederson is licensed to practice in Iowa (license number DO-03976) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285756486.

Contact Information

Jeffrey Allen Pederson, DO
12493 University Ave Ste 100,
Clive, IA 50325-8286
(515) 358-9461
(515) 358-9489

Map and Direction




Physician's Profile

Full NameJeffrey Allen Pederson
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience19 Years
Location12493 University Ave Ste 100, Clive, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Allen Pederson attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2005
  NPI Data:
  • NPI Number: 1285756486
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 03/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0345394789
  • Enrollment ID: I20090819000301

Medical Identifiers

Medical identifiers for Jeffrey Allen Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285756486NPI-NPPES
500301OtherIACOVENTRY HEALTH CARE
164196OtherIAHEALTH ALLIANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 3976 (Iowa)Secondary
208100000XPhysical Medicine & Rehabilitation 5101016420 (Michigan)Secondary
208100000XPhysical Medicine & Rehabilitation DO-03976 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Knoxville Hospital & ClinicsKnoxville, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Orthopaedics And Sports Medicine Pc347669155119

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. Jeffrey Allen Pederson allows following entities to bill medicare on his behalf.
Entity NameKnoxville Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770591661
PECOS PAC ID: 6608787056
Enrollment ID: O20031119000804
Entity NameCapital Orthopaedics And Sports Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932432457
PECOS PAC ID: 3476691551
Enrollment ID: O20091110000451
Entity NameIntegrated Rehab Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20190102001971

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. Jeffrey Allen Pederson 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 AddressPractice Location Address
Jeffrey Allen Pederson, DO
Po Box 1475,
Des Moines, IA 50305-1475

Ph: (515) 358-9461		Jeffrey Allen Pederson, DO
12493 University Ave Ste 100,
Clive, IA 50325-8286

Ph: (515) 358-9461

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Clive, IA

Joseph J Chen, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Campus Dr, Clive, IA 50325
Phone: 877-749-7428    Fax: 512-628-3314
Dr. Donna J Bahls, M.D.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 12499 University Ave, Suite 210, Clive, IA 50325
Phone: 515-327-1555    Fax: 515-327-1444
Logan Charles Mccool,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Campus Dr, Clive, IA 50325
Phone: 515-381-6519    
Ai Huong Phu, D.O.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 12493 University Ave Ste 100, Clive, IA 50325
Phone: 515-358-9461    Fax: 515-358-9489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.