| Ryan D Pederson, DPM | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2099 | |
| (541) 267-5151 | |
| (541) 266-4506 |
| Full Name | Ryan D Pederson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 18 Years |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| 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 |
|---|---|---|---|
| 1063605384 | NPI | - | NPPES |
| 500623170 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP151127 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Bend Medical Center Inc | 5597677716 | 80 |
| Provider Name | North Bend Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Provider Name | South Coast Orthopaedic Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245284751 PECOS PAC ID: 2062408131 Enrollment ID: O20040423000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D Pederson, DPM 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 269-5151 | Ryan D Pederson, DPM 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 |
Oregon Coast Wound Center Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-329-2555 Fax: 971-233-3243 | |
Logan Gull, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4506 |