| John Victor Tedesco, DO | |
|
11911 S Oxford Ave Ste 200, Tulsa, OK 74137-7778 | |
| (918) 984-5063 | |
| (918) 600-0690 |
| Full Name | John Victor Tedesco |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 11911 S Oxford Ave Ste 200, Tulsa, Oklahoma |
| 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 |
|---|---|---|---|
| 1790951747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 5170 (Oklahoma) | Primary |
| 208600000X | Surgery | OS10091 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulsa Spine & Specialty Hospital | Tulsa, OK | Hospital |
| Entity Name | Mcalester Regional Health Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316940034 PECOS PAC ID: 6709796436 Enrollment ID: O20040303001042 |
| Entity Name | Mcalester Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317998 PECOS PAC ID: 9931139029 Enrollment ID: O20050818000234 |
| Entity Name | Kimiko And Tedesco, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396497319 PECOS PAC ID: 5193191161 Enrollment ID: O20221017000198 |
| Mailing Address | Practice Location Address |
|---|---|
| John Victor Tedesco, DO 11911 S Oxford Ave Ste 200, Tulsa, OK 74137-7778 Ph: (918) 984-5063 | John Victor Tedesco, DO 11911 S Oxford Ave Ste 200, Tulsa, OK 74137-7778 Ph: (918) 984-5063 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 Fax: 918-619-4960 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 | |
Theresa Marie York, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4900 |