Dustin Shawn Tedesco, MD in Norman, OK

Dustin Shawn Tedesco, MD is a medicare enrolled "Internal Medicine" physician in Norman, Oklahoma. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Norman Regional Providers Specialty Care and his current practice location is 1553 N Porter Ave, Norman, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 217-8500.

Dustin Shawn Tedesco is licensed to practice in Oklahoma (license number 25729) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649476136.

Contact Information

	Dustin Shawn Tedesco, MD
	1553 N Porter Ave, Norman, OK 73071-6621
	(405) 217-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dustin Shawn Tedesco
Gender	Male
Speciality	Nephrology
Experience	12 Years
Location	1553 N Porter Ave, Norman, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dustin Shawn Tedesco graduated from medical school in 2012

NPI Data:

NPI Number: 1649476136
Provider Enumeration Date: 06/22/2007
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 7416104708
Enrollment ID: I20120821000672

Medical Identifiers

Medical identifiers for Dustin Shawn Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649476136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25729 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davita - Anadarko	Anadarko, OK	Dialysis facility
Davita - Sooner Dialysis	Norman, OK	Dialysis facility
Davita - Chickasha Dialysis Ctr	Chickasha, OK	Dialysis facility
Davita - Ardmore Dialysis Ranch	Ardmore, OK	Dialysis facility
Davita - Lawton Dialysis	Lawton, OK	Dialysis facility
Norman Regional	Norman, OK	Hospital
Grady Memorial Hospital	Chickasha, OK	Hospital
Arbuckle Memorial Hospital	Sulphur, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Norman Regional Providers Specialty Care	5496900706	142

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. Dustin Shawn Tedesco allows following entities to bill medicare on his behalf.

Entity Name	Grady Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193

Entity Name	Norman Regional Providers Specialty Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548513773 PECOS PAC ID: 5496900706 Enrollment ID: O20130312000200

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. Dustin Shawn 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
Dustin Shawn Tedesco, MD 1553 N Porter Ave, Norman, OK 73071-6621 Ph: (405) 217-8500	Dustin Shawn Tedesco, MD 1553 N Porter Ave, Norman, OK 73071-6621 Ph: (405) 217-8500

Reviews and Comments

Internal Medicine Doctors in Norman, OK

Justin Elliot Fields, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 N Porter, Suite 300, Norman, OK 73071 Phone: 405-329-0121 Fax: 405-292-6099
Sunil Thomas Mathew, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Healthplex Pkwy Ste 200, Norman, OK 73072 Phone: 405-515-2222 Fax: 405-515-2208
Aaron Lee Boyd, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 24th Ave Sw, Suite 110, Norman, OK 73069 Phone: 405-307-5337 Fax: 405-253-4148
Archana Gautam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072 Phone: 405-515-2222 Fax: 405-307-5617
Philip C Bird, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N Porter Ave, Norman, OK 73071 Phone: 405-360-2777 Fax: 405-360-2780
Robert Michael Holbrook, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 N Porter Ave, Suite 200, Norman, OK 73071 Phone: 405-366-8619 Fax: 405-366-1839
Katherine Hays, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Healthplex Pkwy Ste 200, Norman, OK 73072 Phone: 405-515-2222 Fax: 405-307-5618

Dustin Shawn Tedesco, MD - Medicare Nephrology in Norman, OK