Dr Savannah Gelesko Weedman, MD, DDS - Medicare Dentist in Phoenix, AZ

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Dr Savannah Gelesko Weedman, MD, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Phoenix, Arizona. Her current practice location is 1441 N 12th St Fl 3, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 521-5150.

Dr Savannah Gelesko Weedman is licensed to practice in Arizona (license number 54225) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770802613.

Contact Information

Dr Savannah Gelesko Weedman, MD, DDS
1441 N 12th St Fl 3,
Phoenix, AZ 85006-2837
(602) 521-5150
Not Available

Map and Direction




Physician's Profile

Full NameDr Savannah Gelesko Weedman
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1441 N 12th St Fl 3, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770802613
  • Provider Enumeration Date: 05/18/2010
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850546417
  • Enrollment ID: I20230202001044

Medical Identifiers

Medical identifiers for Dr Savannah Gelesko Weedman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770802613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck 54225 (Arizona)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 54225 (Arizona)Primary
204E00000XOral & Maxillofacial Surgery 2022-03116 (North Carolina)Secondary

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 Savannah Gelesko Weedman allows following entities to bill medicare on her behalf.
Entity NameNovant Health Medical Group Coastal Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285

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 Savannah Gelesko Weedman 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 Savannah Gelesko Weedman, MD, DDS
1441 N 12th St Fl 3, Head And Neck Institute,
Phoenix, AZ 85006-2837

Ph: (602) 521-5150		Dr Savannah Gelesko Weedman, MD, DDS
1441 N 12th St Fl 3,
Phoenix, AZ 85006-2837

Ph: (602) 521-5150

Reviews and Comments



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.