Doctor Name: | STACY PEDERSON |
NPI Number: | 1346663796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | IMF 71954 INTERN # |
Business Practice Address: | 20 W Bedford Ave Clovis, CA - 936113515 |
Business Phone Number: | 5599400385 |
Business Fax Number: | |
Mailing Address: | 20 W Bedford Ave, CLOVIS |
State: | CA |
Postal Code: | 936113515 |
Phone Number: | 5599400385 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | IMF 71954 INTERN # |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |