Dr. Jasen Thomas Pedersen is a Crestwood, Kentucky based male podiatrist with 16 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2008. He is also affiliated with hospitals like Baptist Health Lagrange. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jasen Thomas Pedersen for Podiatric Foot & Ankle Surgery is 243971 in Kentucky. Dr. Jasen Thomas Pedersen is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jasen Thomas 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:
Podiatrist
Credentials:
DPM
Experience:
16+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6400 Westwind Way, Suite B, Crestwood, Kentucky, 40014-6773
Phone:
502-276-9999
Fax:
502-276-9999
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:
6507035565
Enrollment ID:
I20110808000621
NPI Number:
1114182326
NPI Enumeration Date:
28 Jul, 2008
NPI Last Update On:
27 Apr, 2020
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. Jasen Thomas Pedersen are as mentioned below.
License Number
Specialization
State
Status
243971
Podiatric Foot & Ankle Surgery
Kentucky
Primary
243971
Podiatry
Kentucky
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Baptist Health Lagrange (180138)
La grange, KY
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jasen Thomas Pedersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100170810
Medicaid
Kentucky
000000866560
Other
Kentucky
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6400 Westwind Way, Suite B Crestwood, Kentucky
Zip:
40014-6773
Phone Number:
502-276-9999
Fax Number:
502-276-9999
Patients can reach Dr. Jasen Thomas Pedersen at 6400 Westwind Way, Suite B, Crestwood, Kentucky or can call to book an appointment on 502-276-9999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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