Kelly Diane Tepedino (NPI# 1619237369, PAC ID# 1355579806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1619237369 |
| PAC ID by PECOS | 1355579806 |
| Professional Enrollment ID | I20160929001697 |
| Full Name | Kelly Diane Tepedino |
| Organization Legal Name | NORTH FLORIDA DERMATOLOGY LLC |
| Address |
1717 Sw Newland Way Lake City FL 32025-6966 |
| Phone Number | 3867544111 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830486166 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1717 Sw Newland Way, Lake City, FL 32025-6966 | 3867544111 | NORTH FLORIDA DERMATOLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 24% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | NORTH FLORIDA DERMATOLOGY LLC |
| Physicians | 1 |
| Street Address |
1717 SW NEWLAND WAY |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-6966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary Bailey | Nurse Practitioner | Miguel J Tepedino Md Pa | 1717 Sw Newland Way, North Florida Family Medicine, Lake City, FL 32025-6966 |
| Miguel Jose Tepedino | Family Medicine | Miguel J Tepedino Md Pa | 1717 Sw Newland Way, North Florida Family Medicine, Lake City, FL 32025-6966 |
| Spring Cramer | Nurse Practitioner | Miguel J Tepedino Md Pa | 1717 Sw Newland Way, North Florida Family Medicine, Lake City, FL 32025-6966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAKE CITY + DERMATOLOGY |
Please comment or provide details below to improve the information on Kelly Diane Tepedino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.