Therese B M Pederson, PA-C - Medicare Physician Assistant in Delano, MN

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Therese B M Pederson, PA-C is a medicare enrolled "Physician Assistant" in Delano, Minnesota. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Infinite Health Collaborative, Pa, Ridgeview Medical Center and her current practice location is 916 Saint Peter St, Delano, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-2191.

Therese B M Pederson is licensed to practice in Minnesota (license number 11600) 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 1336550979.

Contact Information

Therese B M Pederson, PA-C
916 Saint Peter St,
Delano, MN 55328-2813
(952) 442-2191
Not Available

Map and Direction




Provider's Profile

Full NameTherese B M Pederson
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location916 Saint Peter St, Delano, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Therese B M Pederson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1336550979
  • Provider Enumeration Date: 05/16/2014
  • Last Update Date: 12/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355568189
  • Enrollment ID: I20140819000026

Medical Identifiers

Medical identifiers for Therese B M Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336550979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11600 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ridgeview Medical CenterWaconia, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Infinite Health Collaborative, Pa1052225042815
Ridgeview Medical Center9234041997407

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. Therese B M Pederson allows following entities to bill medicare on her behalf.
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183
Entity NameInfinite Health Collaborative, PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574
Entity NameEmergency Care Consultants PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422788
PECOS PAC ID: 5496640161
Enrollment ID: O20040220000380
Entity NameMinnesota Valley Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730248907
PECOS PAC ID: 9032006507
Enrollment ID: O20040301000309
Entity NameSibley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740240225
PECOS PAC ID: 3870722499
Enrollment ID: O20140418000315

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. Therese B M 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
Therese B M Pederson, PA-C
916 Saint Peter St,
Delano, MN 55328-2813

Ph: (952) 442-2191		Therese B M Pederson, PA-C
916 Saint Peter St,
Delano, MN 55328-2813

Ph: (952) 442-2191

Reviews and Comments


Physician Assistant Nurses in Delano, MN

Rachel Kathleen Johnson, PA
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Medicare: Medicare Enrolled
Practice Location: 916 Saint Peter Ave #120, Delano, MN 55328
Phone: 763-230-2780    Fax: 763-972-2230
Jami Juras, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 916 Saint Peter St, Delano, MN 55328
Phone: 952-442-7800    Fax: 763-972-7234
David Scott Trcka, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 916 St. Peter Ave E, Delano, MN 55328
Phone: 952-442-7800    

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.