Dr Savannah Gelesko Weedman, MD, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Phoenix, Arizona. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Novant Health Medical Group Coastal Region Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770802613.
Physician's Profile
| Full Name | Dr Savannah Gelesko Weedman |
|---|
| Gender | Female |
|---|
| Speciality | Oral Surgery |
|---|
| Experience | 14 Years |
|---|
| Location | 1441 N 12th St Fl 3, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Savannah Gelesko Weedman graduated from medical school in 2010
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.
| Identifier | Type | State | Issuer |
|---|
| 1770802613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 54225 (Arizona) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 54225 (Arizona) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 2022-03116 (North Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 412 |
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 Name | Novant Health Medical Group Coastal Region Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI 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 Address | Practice 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