Leah Tedder, in Niceville, FL - Medicare Physician Assistant

Leah Tedder, is a medicare enrolled "Physician Assistant" in Niceville, Florida. Her current practice location is 2190 Highway 85 N, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 729-9490.

Leah Tedder is licensed to practice in * (Not Available) (license number ) 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 1093045569.

Contact Information

	Leah Tedder,
	2190 Highway 85 N, Niceville, FL 32578-1045
	(850) 729-9490
	Not Available

Map and Direction

Provider's Profile

Full Name	Leah Tedder
Gender	Female
Speciality	Physician Assistant
Location	2190 Highway 85 N, Niceville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093045569
Provider Enumeration Date: 01/06/2010
Last Update Date: 03/28/2013

Medicare PECOS Information:

PECOS PAC ID: 7517130719
Enrollment ID: I20111103000765

Medical Identifiers

Medical identifiers for Leah Tedder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093045569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary
363AS0400X	Physician Assistant - Surgical	9105931 (Florida)	Secondary

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. Leah Tedder 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
Leah Tedder, 4242 Jade Loop, Destin, FL 32541-5134 Ph: (808) 554-7640	Leah Tedder, 2190 Highway 85 N, Niceville, FL 32578-1045 Ph: (850) 729-9490

Reviews and Comments

Physician Assistant Nurses in Niceville, FL

Amanda Michelle Outly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578 Phone: 850-897-6600 Fax: 850-897-0623
Mrs. Amy M. Drab, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2600 Partin Dr N Ste 110, Niceville, FL 32578 Phone: 850-517-6578 Fax: 850-810-5488
Mr. William H Diamond Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4566 E Highway 20 Ste 101, Niceville, FL 32578 Phone: 850-897-7546
Gregory Brent Archer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550-a Twin Cities Boulevard, Orthopaedic And Spine Surgery Center, Niceville, FL 32578 Phone: 850-729-1444
Harry F Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Twin Cities Blvd, Suite A, Niceville, FL 32578 Phone: 850-729-1444 Fax: 850-729-0300
Rustin G Sorensen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1950 Bluewater Blvd, Suite 100, Niceville, FL 32578 Phone: 850-897-8081 Fax: 850-897-3846

Leah Tedder, - Medicare Physician Assistant in Niceville, FL