| Dominic J Tedesco, MD | |
|
2415 Bath St Ste 200, Santa Barbara, CA 93105-4324 | |
| (805) 563-7001 | |
| (805) 352-2701 |
| Full Name | Dominic J Tedesco |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 45 Years |
| Location | 2415 Bath St Ste 200, Santa Barbara, 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 |
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cottage Medical Foundation | 0547600512 | 83 |
| 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 | Cottage Clinical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496 |
| Entity Name | Cottage Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770352130 PECOS PAC ID: 0547600512 Enrollment ID: O20250728001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic J Tedesco, MD Po Box 689, Santa Barbara, CA 93102-0689 Ph: (805) 682-7111 | Dominic J Tedesco, MD 2415 Bath St Ste 200, Santa Barbara, CA 93105-4324 Ph: (805) 563-7001 |
Michael John Paulsen, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2415 Bath St Ste 200, Santa Barbara, CA 93105 Phone: 805-563-7001 Fax: 805-352-2701 |
Cary Lee Conyers, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 504 W Pueblo St, Suite 301, Santa Barbara, CA 93105 Phone: 805-962-1822 Fax: 805-962-1822 |