Dr Andrew Tedesco, DDS is a medicare enrolled "Dentist" provider in Delevan, New York. His current practice location is
38 N Main St, Delevan, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 707-7042.
Dr Andrew Tedesco is licensed to practice in New York (license number 049461) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225259971.
Healthcare Provider's Profile
| Full Name | Dr Andrew Tedesco |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 38 N Main St, Delevan, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225259971
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456625169
- Enrollment ID: I20170919003356
Medical Identifiers
Medical identifiers for Dr Andrew Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225259971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 049461 (New York) | Primary |
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. Dr Andrew Tedesco 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 Address | Practice Location Address |
|---|
Dr Andrew Tedesco, DDS
515 Main St, Attn: Jackie Taylor Him,
Olean, NY 14760-1513
Ph: (716) 375-7536 | Dr Andrew Tedesco, DDS
38 N Main St,
Delevan, NY 14042-9501
Ph: (716) 707-7042 |
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