DANIEL ALEXANDER PEDERSEN
NPI 1316469497
Physician Assistant - Medical in Winston Salem, NC

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(919) 265-8143 Get Directions Write a Review

NPPES record last updated: July 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Alexander Pedersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL ALEXANDER PEDERSEN (NPI 1316469497) is an individual medical provider in Winston Salem, North Carolina, licensed in North Carolina (0010-07375) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316469497
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL ALEXANDER PEDERSEN
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 146Union Grove, NC 28689-0146 · (919) 265-8143
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 11, 2017
NPI 1316469497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 0010-07375
MEDICAL CENTER BLVD, Winston Salem, NC 27157

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Alexander Pedersen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911271366
PECOS Enrollment IDI20170922002104
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Rheumatology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Practitioner (Neonatal)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Surgery (Vascular Surgery)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316469497, enumerated as an "individual" on July 11, 2017.

The provider is located at MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 and the phone number is (919) 265-8143.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.

Daniel Pedersen is affiliated with: NORTH CAROLINA BAPTIST HOSPITAL.