| Amanda Pederson, NP | |
|
614 Michigan Ave W, Walker, MN 56484-2276 | |
| (218) 547-7700 | |
| (218) 547-3922 |
| Full Name | Amanda Pederson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 614 Michigan Ave W, Walker, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457452187 | NPI | - | NPPES |
| 337486600 | Medicaid | MN | |
| 58G74WA | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 10554 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R140359-6 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knute Nelson Home Care | Alexandria, MN | Home health agency |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Pederson, NP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Amanda Pederson, NP 614 Michigan Ave W, Walker, MN 56484-2276 Ph: (218) 547-7700 |
Ms. Rachel Diane Erickson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Michigan Ave W, Walker, MN 56484 Phone: 218-547-3452 | |
Tamera Lyn Mahaffey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 614 Michigan Ave W, Walker, MN 56484 Phone: 218-547-7700 | |
Ms. Katherine Marie Miller, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 Michigan Ave W, Walker, MN 56484 Phone: 218-547-7700 |