| 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 | 44 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 | 47 |
| Entity Name | California Cardiovascular And Thoracic Surgeons |
|---|---|
| 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 |
Kelly Fairbairn, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5672 | |
Ryan J Vela, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: May Accept Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Lamar J. Bushnell, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 | |
Dr. Jennifer Jean Wan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 168 N Brent St Ste 508, Ventura, CA 93003 Phone: 805-643-2375 Fax: 805-643-3511 |