Dr. Jennifer Elyse Pedersen is a Detroit Lakes, Minnesota based female chiropractor with 23 years of experience in General Chiropractor. She completed her graduation from Northwestern College Of Chiropractic in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jennifer Elyse Pedersen as General Chiropractor is 4079 in Minnesota. Dr. Jennifer Elyse Pedersen is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Jennifer Elyse Pedersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
23+ years
Medical School Attended:
Northwestern College Of Chiropractic
Graduation Year:
2001
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1131 Jackson Ave, Detroit Lakes, Minnesota, 56501-3618
Phone:
218-844-5050
Fax:
218-844-5049
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163463662
Enrollment ID:
I20050516000115
NPI Number:
1689759383
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
13 Sep, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jennifer Elyse Pedersen are as mentioned below.
License Number
Specialization
State
Status
4079
Chiropractor
Minnesota
Primary
575
Acupuncturist
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jennifer Elyse Pedersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
020960100
Medicaid
Minnesota
242T6NO
Other
CLINIC #
350002650
Other
MEDICARE PROVIDER #
134208196
Other
EMPLOYER # FED #
4079
Other
LICENSE #
0908
Other
HSM
242T7PE
Other
BCBS PROVIDER #
89749
Other
HEALTH PARTNERS
647163
Other
CHIROCARE #
P00229402
Other
RAILROAD
020960100
Other
MHCP HEALTH CARE
575
Other
ACCUPUNCTURE #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1131 Jackson Ave, Detroit Lakes, Minnesota
Zip:
56501-3618
Phone Number:
218-844-5050
Fax Number:
218-844-5049
Patients can reach Dr. Jennifer Elyse Pedersen at 1131 Jackson Ave, Detroit Lakes, Minnesota or can call to book an appointment on 218-844-5050. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.