Brian D Tedesco, DPM | |
53 Main St, Somerville, MA 02145-1448 | |
(617) 629-2304 | |
Not Available |
Full Name | Brian D Tedesco |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 24 Years |
Location | 53 Main St, Somerville, Massachusetts |
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 |
---|---|---|---|
1588628853 | NPI | - | NPPES |
0364011 | Medicaid | MA | |
0032245 | Other | MA | NEIGHBORHOOD HEALTH |
11318840 | Other | CAQH | |
202648900 | Other | DEPT. OF LABOR-WC | |
972127 | Other | MA | NETWORK HEALTH |
2180343 | Other | MA | HEALTHCARE VALUE |
2180343 | Other | MA | FIRST HEALTH-MA LABORERS |
334226 | Other | MA | HARVARD PILGRIM HEALTH |
746579 | Other | MA | CIGNA |
002199 | Other | MA | TUFTSHEALTH CARE |
96048 | Other | MA | FALLON |
DB4378 | Other | MA | RAILROAD MEDICARE |
Y71104 | Other | MA | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 2199 (Massachusetts) | Primary |
213ES0131X | Podiatrist - Foot Surgery | 2199 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkland Medical Center | Derry, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brian D Tedesco Dpm And George A Abboud Dpm Pc | 7517060593 | 3 |
Brian D Tedesco Dpm And George A Abboud Dpm Pc | 7517060593 | 3 |
Provider Name | Brian D Tedesco Dpm & George A Abboud Dpm Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114981487 PECOS PAC ID: 7517060593 Enrollment ID: O20070312000526 |
Mailing Address | Practice Location Address |
---|---|
Brian D Tedesco, DPM Po Box 2190, West Peabody, MA 01960-7190 Ph: (781) 231-7026 | Brian D Tedesco, DPM 53 Main St, Somerville, MA 02145-1448 Ph: (617) 629-2304 |
Candria Foot & Ankle Specialists Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 Fax: 617-629-2304 | |
Dr. Pasquale Cancelliere, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 | |
Dr. Jill Francine Ashcraft, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6220 Fax: 617-629-6248 | |
Dr. Chih Kang David Liou, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10 Beacon St, Somerville, MA 02143 Phone: 503-515-9575 | |
Dr. Michael Hercules Theodoulou, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 230 Highland Ave, Somerville, MA 02143 Phone: 617-665-1000 | |
Massachusetts Foot And Ankle Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 |