Samantha Ellen Pederson, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Henderson, Nebraska. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Edgewood Family Physicians Pc and her current practice location is
1621 Front St, Henderson, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 723-4512.
Samantha Ellen Pederson is licensed to practice in Nebraska (license number 2565) 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 1033885504.
Physician's Profile
| Full Name | Samantha Ellen Pederson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 1621 Front St, Henderson, Nebraska |
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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:
- Samantha Ellen Pederson graduated from medical school in 2020
NPI Data:
- NPI Number: 1033885504
- Provider Enumeration Date: 08/17/2021
- Last Update Date: 06/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 9133525934
- Enrollment ID: I20210902000662
Medical Identifiers
Medical identifiers for Samantha Ellen Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033885504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2565 (Nebraska) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2565 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Edgewood Family Physicians Pc | 5395816979 | 4 |
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. Samantha Ellen 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 Address | Practice Location Address |
|---|
Samantha Ellen Pederson, PA-C
1621 Front St,
Henderson, NE 68371-8902
Ph: (402) 723-4512 | Samantha Ellen Pederson, PA-C
1621 Front St,
Henderson, NE 68371-8902
Ph: (402) 723-4512 |
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