| James V Tedesco, MD | |
|
5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2094 | |
| (615) 391-3971 | |
| (615) 369-2032 |
| Full Name | James V Tedesco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 5653 Frist Blvd, Hermitage, Tennessee |
| 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 |
|---|---|---|---|
| 1215981196 | NPI | - | NPPES |
| 110248369 | Other | TN | R/R MEDICARE |
| 4041640 | Other | TN | TENNCARE |
| 7016359 | Other | TN | AETNA |
| H19000 | Other | TN | HEALTHSPRING |
| P2007234 | Other | TN | FIRST HEALTH |
| 3875089 | Medicaid | TN | |
| 4041640 | Other | TN | BCBS |
| 8714442 | Other | TN | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36266 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| James V Tedesco, MD 5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2094 Ph: (615) 391-3971 | James V Tedesco, MD 5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2094 Ph: (615) 391-3971 |
Dr. George W. James, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd Ste 530, Hermitage, TN 37076 Phone: 615-885-1093 Fax: 615-885-1110 | |
Mr. Michael Thomas Beckham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 701, Hermitage, TN 37076 Phone: 615-964-7990 Fax: 615-649-8079 | |
Dr. Sunil C Kaza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 603, Hermitage, TN 37076 Phone: 615-889-1968 Fax: 615-889-8527 | |
Dr. Jonathan Andrew Hoda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 603, Hermitage, TN 37076 Phone: 615-889-1968 Fax: 615-889-8527 | |
Christopher A Molini, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd, Hermitage, TN 37076 Phone: 615-884-3094 Fax: 615-871-0051 | |
Dr. Chirag Jitendra Amin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd, Suite 434, Hermitage, TN 37076 Phone: 615-871-9996 Fax: 615-871-9661 | |
Dr. Bradford James Matthews, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5045 Old Hickory Blvd Ste 200, Hermitage, TN 37076 Phone: 615-515-9921 |