Dr Eleanor Theresa Tedesco, MD - Medicare Psychiatry in Myrtle Beach, SC

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Dr Eleanor Theresa Tedesco, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Myrtle Beach, South Carolina. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Supportive Behavioral Care Of Ma Llc, Charleston Counseling Center Pc and her current practice location is 3922 Glenmere Dr, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (508) 769-2364.

Dr Eleanor Theresa Tedesco is licensed to practice in South Carolina (license number 87398) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700930914.

Contact Information

Dr Eleanor Theresa Tedesco, MD
3922 Glenmere Dr,
Myrtle Beach, SC 29588-6769
(508) 769-2364
(843) 668-2468

Map and Direction




Physician's Profile

Full NameDr Eleanor Theresa Tedesco
GenderFemale
SpecialityPsychiatry
Experience30 Years
Location3922 Glenmere Dr, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eleanor Theresa Tedesco graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1700930914
  • Provider Enumeration Date: 01/23/2007
  • Last Update Date: 03/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638119308
  • Enrollment ID: I20050512000212

Medical Identifiers

Medical identifiers for Dr Eleanor Theresa Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700930914NPI-NPPES
3178111MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 152283 (Massachusetts)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 87398 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Supportive Behavioral Care Of Ma Llc862834673157
Charleston Counseling Center Pc620412510779

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. Dr Eleanor Theresa Tedesco allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Connections, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477580827
PECOS PAC ID: 8729074992
Enrollment ID: O20040422001136
Entity NameAdult Behavioral Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912945825
PECOS PAC ID: 3577537380
Enrollment ID: O20040825001322
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameBoston Neurobehavioral Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558415307
PECOS PAC ID: 9436142429
Enrollment ID: O20120926000381
Entity NameSupportive Behavioral Care Of Ma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780115519
PECOS PAC ID: 8628346731
Enrollment ID: O20170614000877
Entity NameBehavioral Nutrition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851686455
PECOS PAC ID: 6507297215
Enrollment ID: O20200513002147

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 Eleanor Theresa 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 AddressPractice Location Address
Dr Eleanor Theresa Tedesco, MD
3922 Glenmere Dr,
Myrtle Beach, SC 29588-6769

Ph: (508) 769-2364		Dr Eleanor Theresa Tedesco, MD
3922 Glenmere Dr,
Myrtle Beach, SC 29588-6769

Ph: (508) 769-2364

Reviews and Comments


Psychiatry & Neurology Doctors in Myrtle Beach, SC

Margaret S Bhatt, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1203 48th Ave N Ste 202, Myrtle Beach, SC 29577
Phone: 843-449-7105    Fax: 843-449-7105
Robert J. Coni, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572
Phone: 843-449-2336    Fax: 843-692-2174
Dr. Mark Grinman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572
Phone: 843-449-2336    Fax: 843-692-2174
Dr. Susan Jayne Olson, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1297 Professional Dr, Ste 104, Myrtle Beach, SC 29577
Phone: 843-712-1854    Fax: 843-213-1681
Dr. Luciano Lizzi, M.D., J.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4830 Innisbrook Ct Apt 1003, Myrtle Beach, SC 29579
Phone: 610-896-8580    
Dr. Renee Ruth Lamm, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3025 Newcastle Loop, Myrtle Beach, SC 29588
Phone: 843-215-2400    Fax: 843-215-2444
Dr. Christina Pitts Lynn, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588
Phone: 803-606-8885    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.