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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: August 09, 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
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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, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Eleanor Tedesco accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, Harvard Pilgrim Health Care 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.