Dominic J Tedesco, MD | |
145 N Brent St, Suite 102, Ventura, CA 93003-2816 | |
(805) 643-2375 | |
(805) 643-3511 |
Full Name | Dominic J Tedesco |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 43 Years |
Location | 145 N Brent St, Ventura, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942300330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A45715 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cottage Clinical Associates | 0345625950 | 30 |
Entity Name | County Of Ventura |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
Entity Name | California Cardiovascular And Thoracic Surgeons |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295800308 PECOS PAC ID: 8729184841 Enrollment ID: O20070507000635 |
Entity Name | Dominic J Tedesco, Md, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699236752 PECOS PAC ID: 3375876188 Enrollment ID: O20190611001278 |
Entity Name | Cottage Clinical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496 |
Mailing Address | Practice Location Address |
---|---|
Dominic J Tedesco, MD 3838 San Dimas St, Suite A-100, Bakersfield, CA 93301-2284 Ph: (661) 327-8538 | Dominic J Tedesco, MD 145 N Brent St, Suite 102, Ventura, CA 93003-2816 Ph: (805) 643-2375 |
Berkeley Brandt Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 145 N Brent St, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Kelly Fairbairn, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5672 | |
Lamar J. Bushnell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 145 N. Brent Street, Suite 102, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 |