Larissa Tedesco, PA in White Plains, NY - Medicare Physician Assistant

Larissa Tedesco, PA is a medicare enrolled "Physician Assistant - Surgical" in White Plains, New York. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 222 Westchester Ave, Suite 102, White Plains, New York. You can reach out to her office (for appointments etc.) via phone at (914) 946-1010.

Larissa Tedesco is licensed to practice in Connecticut (license number 1688) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467601401.

Contact Information

	Larissa Tedesco, PA
	222 Westchester Ave, Suite 102, White Plains, NY 10604-2906
	(914) 946-1010
	(914) 946-1025

Map and Direction

Provider's Profile

Full Name	Larissa Tedesco
Gender	Female
Speciality	Physician Assistant
Experience	19 Years
Location	222 Westchester Ave, White Plains, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larissa Tedesco graduated from nursing school in 2005

NPI Data:

NPI Number: 1467601401
Provider Enumeration Date: 09/15/2008
Last Update Date: 10/08/2020

Medicare PECOS Information:

PECOS PAC ID: 2264459320
Enrollment ID: I20051027000845

Medical Identifiers

Medical identifiers for Larissa Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467601401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1688 (Connecticut)	Secondary
363AS0400X	Physician Assistant - Surgical	1688 (Connecticut)	Primary
363A00000X	Physician Assistant	010822-1 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Vincent's Medical Center	Bridgeport, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1138

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. Larissa 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
Larissa Tedesco, PA 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 268-2882	Larissa Tedesco, PA 222 Westchester Ave, Suite 102, White Plains, NY 10604-2906 Ph: (914) 946-1010

Reviews and Comments

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Larissa Tedesco, PA - Medicare Physician Assistant in White Plains, NY