Serena Teddy, PA-C, MS, RD is a
Physician Assistant based in Anaheim, California. Serena Teddy is licensed to practice in California (license number 51359) and her current practice location is
9918 Katella Ave Ste C, Anaheim, California. She can be reached at her office (for appointments etc.) via phone at
(714) 625-8320.
NPI number for Serena Teddy is 1043404379 and her current mailing address is 9918 Katella Ave Ste C, Anaheim, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043404379.
Healthcare Provider's Profile
Full Name | Serena Teddy |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9918 Katella Ave Ste C, Anaheim, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043404379
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 03/07/2014
Medical Identifiers
Medical identifiers for Serena Teddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043404379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 00969551 (California) | Secondary |
363A00000X | Physician Assistant | 51359 (California) | 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. Serena Teddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Serena Teddy, PA-C, MS, RD 9918 Katella Ave Ste C, Anaheim, CA 92804-6466 Ph: (714) 625-8320 | Serena Teddy, PA-C, MS, RD 9918 Katella Ave Ste C, Anaheim, CA 92804-6466 Ph: (714) 625-8320 |
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