TYLER CHRISTIAN PEDERSEN M.D. NPI 1003034828

Emergency Medicine in Omaha, NE

NPI 1003034828 Individual Male Years of Experience 17 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About TYLER PEDERSEN

Tyler Pedersen is a provider established in Omaha, Nebraska and his medical specialization is emergency medicine with more than 17 years of experience. He graduated from University Of Nevada School Of Medicine in 2005. The NPI number of Tyler Pedersen is 1003034828 and was assigned on April 2007. The practitioner's primary taxonomy code is 207P00000X with license number NE5284 (NE). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Tyler Pedersen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Tyler Pedersen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Providence Holy Family Hospital.

NPI

1003034828

Provider Name TYLER CHRISTIAN PEDERSEN M.D.
Provider Location Address981150 NEBRASKA MEDICAL CTR OMAHA, NE 68198
Provider Mailing Address5625 S 33RD AVE OMAHA, NE 68107
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-24-2007
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.NE5284
License StateNE
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

TYLER CHRISTIAN PEDERSEN M.D.
981150 NEBRASKA MEDICAL CTR
OMAHA, NE
ZIP 68198
Phone: (402) 559-6802

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Mailing Address

TYLER CHRISTIAN PEDERSEN M.D.
5625 S 33RD AVE
OMAHA, NE
ZIP 68107
Phone: (402) 731-1193



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4486727468
PECOS Enrollment IDI20110512000758
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tyler Pedersen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PROVIDENCE HOLY FAMILY HOSPITAL5633 NORTH LIDGERWOOD
SPOKANE, WA 99208
(509) 482-2450Acute Care Hospitals500077

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
NE5284MEDICARE UPIN (02)NE

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265567267 DARIN E JACKSON MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6705
1760502702DR. PHILLIP ISMAY JONES M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1598983793 CHARLES SCHMIER
Individual
Emergency Medicine (Emergency Medical Services)981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1285898049DR. IAN ANDREW CRAVEN M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1336379411DR. ERIC D SCHNEIDER M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6705
1811283989DR. CHRISTOPHER JAMES ACKER MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-5413
1528355898DR. DANIEL ROBERT HECKMANN M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1518221035 PETER ANARADIAN M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1669695946 RAJAGOPAL SRINIVASAN M.D., PH.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR SECTION OF EMERGENCY MEDICINE ACADEMIC OFFICES
OMAHA, NE 68198
(404) 559-6802
1942649546DR. JOHN F HANSON M.D.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(219) 510-2990
1811302284DR. CHARLES JUSTIN HALL DO
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1932427069DR. ROSS EDWARD MATHIASEN M.D.
Individual
Emergency Medicine (Sports Medicine)981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6637
1235581257DR. BRIAN CARTER D.O.
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-5413
1538689419DR. RACHEL ELIZABETH MICELI MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
1083134878 TYLER RONNFELDT MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
1629568241DR. JOSEPH MATTHEW LIPPERT MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1841782976DR. NICHOLAS VINCENT THALKEN DO
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1790278638 KYLE GRONBECK
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1114411048 NICHOLAS JOBEUN DO
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6802
1184759029 SIDNEY M LONGWELL JR. MD
Individual
Emergency Medicine981150 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
(402) 559-6705

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.