| Jesse Christian Pedersen, | |
|
57 Lower Matchaponix Ave, Monroe, NJ 08831-1443 | |
| (732) 570-8598 | |
| Not Available |
| Full Name | Jesse Christian Pedersen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 57 Lower Matchaponix Ave, Monroe, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174249908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02132700 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| At Home By Enhance Therapies Llc | 4183033210 | 127 |
| Provider Name | At Home By Enhance Therapies Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Christian Pedersen, 57 Lower Matchaponix Ave, Monroe, NJ 08831-1443 Ph: (732) 570-8598 | Jesse Christian Pedersen, 57 Lower Matchaponix Ave, Monroe, NJ 08831-1443 Ph: (732) 570-8598 |
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