Kailene Leila Tedford, FNP in Plattsburgh, NY

Kailene Leila Tedford, FNP is a medicare enrolled "Nurse Practitioner - Family" in Plattsburgh, New York. Her current practice location is 87 Plaza Blvd, Plattsburgh, New York. You can reach out to her office (for appointments etc.) via phone at (518) 536-7060.

Kailene Leila Tedford is licensed to practice in New York (license number 350122) 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 1558096057.

Contact Information

	Kailene Leila Tedford, FNP
	87 Plaza Blvd, Plattsburgh, NY 12901-6438
	(518) 536-7060
	(518) 536-7075

Map and Direction

Provider's Profile

Full Name	Kailene Leila Tedford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	87 Plaza Blvd, Plattsburgh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558096057
Provider Enumeration Date: 07/19/2022
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 7214303791
Enrollment ID: I20221025002062

Medical Identifiers

Medical identifiers for Kailene Leila Tedford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558096057	NPI	-	NPPES
07468688	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350122 (New York)	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. Kailene Leila Tedford allows following entities to bill medicare on her behalf.

Entity Name	Hudson Headwaters Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239

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. Kailene Leila Tedford 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
Kailene Leila Tedford, FNP 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Kailene Leila Tedford, FNP 87 Plaza Blvd, Plattsburgh, NY 12901-6438 Ph: (518) 536-7060

Reviews and Comments

Nurse Practitioner Nurses in Plattsburgh, NY

Alyssa Lynn Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000
Rebecca Carter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Cornelia St Ste 104, Plattsburgh, NY 12901 Phone: 518-562-7557 Fax: 518-562-7559
Mrs. Mary Anne Carter, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-563-3260 Fax: 518-561-2877
Joshua Michael Korb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Prospect Ave, Plattsburgh, NY 12901 Phone: 518-563-5440
Sarah Beth Wood, MSN, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Broad St, Plattsburgh, NY 12901 Phone: 518-825-1555
Suzanne Laborde, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-824-2563 Fax: 833-448-3030
Abbey Turner, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-562-7790

Kailene Leila Tedford, FNP - Medicare Nurse Practitioner in Plattsburgh, NY