Dr David William Tesar, MD - Medicare Psychiatry & Neurology in Bloomington, IN

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Dr David William Tesar, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Bloomington, Indiana. His current practice location is 583 S Clarizz Blvd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 676-4460.

Dr David William Tesar is licensed to practice in Indiana (license number 01064317A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205913746.

Contact Information

Dr David William Tesar, MD
583 S Clarizz Blvd,
Bloomington, IN 47401-5515
(812) 676-4460
(812) 355-4092

Map and Direction




Physician's Profile

Full NameDr David William Tesar
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location583 S Clarizz Blvd, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205913746
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133127566
  • Enrollment ID: I20061120000336

Medical Identifiers

Medical identifiers for Dr David William Tesar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205913746NPI-NPPES
090540871OtherINMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 35066615 (Ohio)Secondary
2084N0400XPsychiatry & Neurology - Neurology 01064317A (Indiana)Primary

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. Dr David William Tesar allows following entities to bill medicare on his behalf.
Entity NameSomc Medical Care Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963
Entity NameSumma Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295
Entity NameMercy Health Physicians-north Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609000769
PECOS PAC ID: 2668522400
Enrollment ID: O20090616000750
Entity NameMercy Health Physicians North Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306468418
PECOS PAC ID: 1951707884
Enrollment ID: O20210901001534
Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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. Dr David William Tesar 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 AddressPractice Location Address
Dr David William Tesar, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Dr David William Tesar, MD
583 S Clarizz Blvd,
Bloomington, IN 47401-5515

Ph: (812) 676-4460

Reviews and Comments


Psychiatry & Neurology Doctors in Bloomington, IN

Jonathan Wicks, ATC, LAT, M.ED
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Phone: 812-855-7920    
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Phone: 812-339-1691    Fax: 812-339-8109
Dr. David Austin Duncan, DO
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Alvin Perry Griffith, M.D.
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Phone: 812-353-5603    Fax: 812-353-3451
Marina Bota, MD
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Phone: 812-339-1691    
Abdulrahim Ismail, MD
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Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408
Phone: 812-353-5222    Fax: 812-353-5262
Joel Harold Griffith, MD
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Practice Location: 645 S Rogers St, Bloomington, IN 47403
Phone: 812-339-1691    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.