| Dr Kurtis Lee Tedesco, MD | |
|
3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Dr Kurtis Lee Tedesco |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 3600 Minnesota Dr Ste 800, Edina, Minnesota |
| 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 |
|---|---|---|---|
| 1396969945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD.300287 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 41866 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Delaware Imaging Assoc | 0547159709 | 39 |
| Advanced Radiology P A | 1254327950 | 144 |
| Red River Consultants Inc | 1355303363 | 56 |
| Radiology Alliance Pc | 1850280470 | 301 |
| Radiologists Associated In Duluth Ltd | 4284547209 | 30 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Geisinger Clinic | 5395657001 | 3078 |
| Atlantic Radiology Associates Llc | 5799706032 | 112 |
| Radiology Associates Of Macon Pc | 7113817701 | 61 |
| St Paul Place Specialists Inc | 7719882943 | 303 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| San Carlos Apache Healthcare Corporation | 0648580597 | 111 |
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20061121000557 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
| Entity Name | Advanced Radiology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932167178 PECOS PAC ID: 1254327950 Enrollment ID: O20170124002217 |
| Entity Name | Red River Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20170919001253 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180116002488 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20180801002886 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20180802001602 |
| Entity Name | Synergy Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802986 PECOS PAC ID: 7719877737 Enrollment ID: O20190205002165 |
| Entity Name | Radiology Associates Of Macon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679563035 PECOS PAC ID: 7113817701 Enrollment ID: O20190425001106 |
| Entity Name | Central Georgia Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114908522 PECOS PAC ID: 5597752261 Enrollment ID: O20191218002419 |
| Entity Name | Georgia Magnetic Imaging Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114900545 PECOS PAC ID: 0042205775 Enrollment ID: O20200108001048 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396207015 PECOS PAC ID: 1355676370 Enrollment ID: O20200226001693 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200826002727 |
| Entity Name | Radiologists Associated In Duluth Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598722688 PECOS PAC ID: 4284547209 Enrollment ID: O20210913001580 |
| Entity Name | Angelina Diagnostic Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033175302 PECOS PAC ID: 1850380890 Enrollment ID: O20220525002895 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20230501002224 |
| Entity Name | St Paul Place Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497707681 PECOS PAC ID: 7719882943 Enrollment ID: O20240222000848 |
| Entity Name | Atlantic Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136080 PECOS PAC ID: 5799706032 Enrollment ID: O20240827003541 |
| Entity Name | Southern Delaware Imaging Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780780627 PECOS PAC ID: 0547159709 Enrollment ID: O20241121001144 |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427870070 PECOS PAC ID: 7810805280 Enrollment ID: O20250225003104 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kurtis Lee Tedesco, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 | Dr Kurtis Lee Tedesco, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 |
Christopher Calixte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Larry Scott Kessler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Lawrence S. Liebman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |