Ms Jennifer Jill Tedesco, APRN, BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Nashville, Tennessee. Her current practice location is
3443 Dickerson Pike, Suite 680, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 865-3322.
Ms Jennifer Jill Tedesco is licensed to practice in Tennessee (license number 11918) 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 1609840610.
Physician's Profile
| Full Name | Ms Jennifer Jill Tedesco |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 3443 Dickerson Pike, Nashville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609840610
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880838051
- Enrollment ID: I20130910000715
Medical Identifiers
Medical identifiers for Ms Jennifer Jill Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609840610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 11918 (Tennessee) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 11918 (Tennessee) | Primary |
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. Ms Jennifer Jill Tedesco allows following entities to bill medicare on her behalf.
| Entity Name | Progressive Care Medical Group Of Tn Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164939039
PECOS PAC ID: 8527321116
Enrollment ID: O20180511000870 |
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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. Ms Jennifer Jill Tedesco 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 |
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Ms Jennifer Jill Tedesco, APRN, BC
3443 Dickerson Pike Ste 680,
Nashville, TN 37207-2537
Ph: (615) 865-3322 | Ms Jennifer Jill Tedesco, APRN, BC
3443 Dickerson Pike, Suite 680,
Nashville, TN 37207-2519
Ph: (615) 865-3322 |
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