Ryan D Pederson, DPM - Medicare Podiatrist in Coos Bay, OR

Ryan D Pederson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Coos Bay, Oregon. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice North Bend Medical Center Inc and his current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 267-5151.

Ryan D Pederson is licensed to practice in Oregon (license number DP151127) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063605384.

Contact Information

Ryan D Pederson, DPM
1900 Woodland Dr,
Coos Bay, OR 97420-2099
(541) 267-5151
(541) 266-4506



Healthcare Provider's Profile

Full NameRyan D Pederson
GenderMale
SpecialityPodiatry
Experience17 Years
Location1900 Woodland Dr, Coos Bay, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan D Pederson graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1063605384
  • Provider Enumeration Date: 08/21/2007
  • Last Update Date: 03/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991839409
  • Enrollment ID: I20100819000887

Medical Identifiers

Medical identifiers for Ryan D Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063605384NPI-NPPES
500623170MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DP151127 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bay Area HospitalCoos bay, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Bend Medical Center Inc559767771683

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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. Ryan D Pederson allows following entities to bill medicare on his behalf.
Provider NameNorth Bend Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138

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Provider NameSouth Coast Orthopaedic Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245284751
PECOS PAC ID: 2062408131
Enrollment ID: O20040423000168

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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. Ryan D 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
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

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Podiatrist in Coos Bay, OR


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