| Brian D Tedesco, DPM | |
|
53 Main St, Somerville, MA 02145-1448 | |
| (617) 629-2304 | |
| Not Available |
| Full Name | Brian D Tedesco |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 53 Main St, Somerville, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588628853 | NPI | - | NPPES |
| 0364011 | Medicaid | MA | |
| 0032245 | Other | MA | NEIGHBORHOOD HEALTH |
| 11318840 | Other | CAQH | |
| 202648900 | Other | DEPT. OF LABOR-WC | |
| 972127 | Other | MA | NETWORK HEALTH |
| 2180343 | Other | MA | HEALTHCARE VALUE |
| 2180343 | Other | MA | FIRST HEALTH-MA LABORERS |
| 334226 | Other | MA | HARVARD PILGRIM HEALTH |
| 746579 | Other | MA | CIGNA |
| 002199 | Other | MA | TUFTSHEALTH CARE |
| 96048 | Other | MA | FALLON |
| DB4378 | Other | MA | RAILROAD MEDICARE |
| Y71104 | Other | MA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 2199 (Massachusetts) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 2199 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Medical Center | Derry, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brian D Tedesco, Dpm And George A Abboud, Dpm Pc | 7517060593 | 2 |
| Brian D Tedesco, Dpm And George A Abboud, Dpm Pc | 7517060593 | 2 |
| Provider Name | Brian D Tedesco, Dpm & George A Abboud, Dpm Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114981487 PECOS PAC ID: 7517060593 Enrollment ID: O20070312000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Tedesco, DPM Po Box 2190, West Peabody, MA 01960-7190 Ph: (781) 231-7026 | Brian D Tedesco, DPM 53 Main St, Somerville, MA 02145-1448 Ph: (617) 629-2304 |
Dr. Pasquale Cancelliere, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 | |
Dr. Jill Francine Ashcraft, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6220 Fax: 617-629-6248 | |
Dr. Chih Kang David Liou, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10 Beacon St, Somerville, MA 02143 Phone: 503-515-9575 | |
Dr. Michael Hercules Theodoulou, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 230 Highland Ave, Somerville, MA 02143 Phone: 617-665-1000 | |
Candria Consulting And Holdings Inc, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 | |
Dr. Charles William Connolly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 College Ave, Somerville, MA 02144 Phone: 617-776-2500 Fax: 617-776-3850 |