Paul Pedersen, in Bloomington, IL - Medicare Internal Medicine

Paul Pedersen, is a medicare enrolled "Internal Medicine" physician in Bloomington, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1977 and has 47 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 1701 E College Ave, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 664-3120.

Paul Pedersen is licensed to practice in Illinois (license number 036-059949) 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 1053403675.

Contact Information

	Paul Pedersen,
	1701 E College Ave, Bloomington, IL 61704-2101
	(309) 664-3120
	(309) 663-5742

Map and Direction

Physician's Profile

Full Name	Paul Pedersen
Gender	Male
Speciality	Internal Medicine
Experience	47 Years
Location	1701 E College Ave, Bloomington, 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.

Medical Education and Training:

Paul Pedersen attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1977

NPI Data:

NPI Number: 1053403675
Provider Enumeration Date: 09/29/2006
Last Update Date: 10/05/2020

Medicare PECOS Information:

PECOS PAC ID: 5799868907
Enrollment ID: I20080212000154

Medical Identifiers

Medical identifiers for Paul Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053403675	NPI	-	NPPES
036059949	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036-059949 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osf Home Health-eastern Region	Normal, IL	Home health agency
St Joseph Medical Center	Bloomington, IL	Hospital
Advocate Bromenn Medical Center	Normal, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1543

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. Paul Pedersen allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Paul 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
Paul Pedersen, 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3120	Paul Pedersen, 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3120

Reviews and Comments

Internal Medicine Doctors in Bloomington, IL

Dr. Venkata Ranganadh Dodda, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368
Kumarpal Shrishrimal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455
Robert Bruha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455
Kenneth H. Inoue, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709
Rajeev Varma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709
Nasiruddin Khokhar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151

Paul Pedersen, - Medicare Internal Medicine in Bloomington, IL