Look up the most recent NPI and PECOS records

Tessa Adzemovic

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Tessa Adzemovic is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1740840305
Provider Type
Individual
Full Name
Adzemovic, Tessa
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/17/2019
Last Updated
9/20/2024

Contact Information

Practice Location

300 Longwood Ave, Boston, MA 02115-5724

(617) 355-6000

Unlisted Fax

Mailing Location

300 Longwood Ave, Boston, MA 02115-5724

(617) 355-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 1016117 Massachusetts
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 1016117 Massachusetts

Tessa Adzemovic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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