Austin Tedder, MS, RD in Phoenix, AZ - Medicare Dietitian, Registered Provider

Austin Tedder, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Phoenix, Arizona. His current practice location is 9305 W Thomas Rd Ste 360, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 327-8200.

Austin Tedder is licensed to practice in Arizona (license number 86060863) 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 1053054585.

Contact Information

	Austin Tedder, MS, RD
	9305 W Thomas Rd Ste 360, Phoenix, AZ 85037-3367
	(623) 327-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Austin Tedder
Gender	Male
Speciality	Dietitian, Registered
Location	9305 W Thomas Rd Ste 360, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053054585
Provider Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7315326238
Enrollment ID: I20220623002763

Medical Identifiers

Medical identifiers for Austin Tedder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053054585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86060863 (Arizona)	Primary

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. Austin Tedder allows following entities to bill medicare on his behalf.

Provider Name	Banner Physician Specialists Arizona Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

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. Austin Tedder 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
Austin Tedder, MS, RD 14717 N 91st Ln, Peoria, AZ 85381-2703 Ph: (623) 313-6223	Austin Tedder, MS, RD 9305 W Thomas Rd Ste 360, Phoenix, AZ 85037-3367 Ph: (623) 327-8200

Reviews and Comments

Dietitian, Registered in Phoenix, AZ

Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225
Miss Erika Josephine Barrera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16601 N 12th St Apt 1142, Phoenix, AZ 85022 Phone: 520-425-9698
Melanie Shay Colville, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013 Phone: 602-406-3611 Fax: 602-406-4363
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235

Austin Tedder, MS, RD - Medicare Dietitian in Phoenix, AZ