1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Psychiatry Neurology
  6. NPI Profile

DR. ELEANOR THERESA TEDESCO MD
NPI 1700930914
Psychiatry & Neurology - Psychiatry in Myrtle Beach, SC

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
3922 GLENMERE DR, MYRTLE BEACH, SC 29588(508) 769-2364(843) 668-2468 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Eleanor Theresa Tedesco Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELEANOR THERESA TEDESCO MD (NPI 1700930914) is an individual psychiatry provider in Myrtle Beach, South Carolina, licensed in South Carolina (87398) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1700930914
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELEANOR THERESA TEDESCOCredential: MD
Location Address3922 GLENMERE DRMyrtle Beach, SC 29588-6769
Mailing Address3922 Glenmere DrMyrtle Beach, SC 29588-6769 · (508) 769-2364 · Fax (843) 668-2468
Phone(508) 769-2364
Fax(843) 668-2468
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1700930914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in SC · 87398✔ Licensed in MA · 152283
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3922 GLENMERE DR, Myrtle Beach, SC 29588
Open in Google Maps ↗

Other Identifiers 1

Medicaid3178111MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eleanor Theresa Tedesco Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638119308
PECOS Enrollment IDI20050512000212, I20220822001319
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Eleanor Tedesco reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Supportive Care Of South Carolina LLC
77 mi
Clinical
734 YORK ST
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 65 clinicians in this Medicare group
NPI 1417681412 (718) 298-4375
Charleston Counseling Center PC
78 mi
Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group
NPI 1316375678 (843) 501-1099
Boston Neurobehavioral Associates, LLC
704 mi
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group
NPI 1558415307 (508) 979-5557
Community Health Connections, Inc.
722 mi
Federally Qualified Health Center (FQHC)
529 TIMPANY BOULEVARD
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 124 clinicians in this Medicare group
NPI 1225742174 (978) 878-8100
Supportive Behavioral Care Of Ma LLC
729 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375
Steward Medical Group, Inc
735 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
279 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
236 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eleanor Tedesco's NPI number?

The NPI number for Eleanor Tedesco is 1700930914. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Eleanor Tedesco located?

Eleanor Tedesco practices at 3922 Glenmere Dr, Myrtle Beach, SC 29588. The listed phone number is (508) 769-2364.

What is Eleanor Tedesco's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eleanor Tedesco enrolled in Medicare?

Yes. Eleanor Tedesco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eleanor Tedesco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eleanor Tedesco reassigns Medicare benefits to 6 organizations: Supportive Care Of South Carolina LLC (Mt Pleasant, SC), Charleston Counseling Center PC (Mount Pleasant, SC), Boston Neurobehavioral Associates, LLC (New Bedford, MA), Community Health Connections, Inc. (Gardner, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eleanor Tedesco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eleanor Tedesco accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Eleanor Tedesco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eleanor Tedesco was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.