Kelly Diane Tepedino, MD is a medicare enrolled "Dermatology" physician in Lake City, Florida. Her current practice location is
1722 Sw Newland Way, Lake City, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 344-6102.
Kelly Diane Tepedino is licensed to practice in Florida (license number ME122956) 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 1619237369.
Physician's Profile
Full Name | Kelly Diane Tepedino |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1722 Sw Newland Way, Lake City, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Diane Tepedino attended and graduated from in
NPI Data:
- NPI Number: 1619237369
- Provider Enumeration Date: 05/29/2012
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Diane Tepedino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619237369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | ME122956 (Florida) | 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. Kelly Diane Tepedino 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 |
Kelly Diane Tepedino, MD 1722 Sw Newland Way, Lake City, FL 32025-6915 Ph: (386) 344-6102 | Kelly Diane Tepedino, MD 1722 Sw Newland Way, Lake City, FL 32025-6915 Ph: (386) 344-6102 |
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