Mr. Derek Robert Tesoro is a Saginaw, Michigan based male podiatrist with 36 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 1988. He is also affiliated with hospitals like Covenant Medical Center. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Derek Robert Tesoro for Podiatry is DT001450 in Michigan. Mr. Derek Robert Tesoro is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Derek Robert Tesoro speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
36+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
5400 Mackinaw, Suite 2100, Saginaw, Michigan, 48604-9549
Phone:
989-790-4662
Fax:
989-790-7680
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032245865
Enrollment ID:
I20100331000123
NPI Number:
1891873022
NPI Enumeration Date:
02 Nov, 2006
NPI Last Update On:
15 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Derek Robert Tesoro are as mentioned below.
License Number
Specialization
State
Status
DT001450
Podiatry
Michigan
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Covenant Medical Center (230070)
Saginaw, MI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Derek Robert Tesoro is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Saginaw Valley Foot And Ankle Center (4385765130)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Derek Robert Tesoro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3173006
Medicaid
Michigan
480019411
Other
MEDICARE RAILROAD
4857311150
Other
BLUE CROSS
11290415
Other
CAQH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5400 Mackinaw, Suite 2100 Saginaw, Michigan
Zip:
48604-9549
Phone Number:
989-790-4662
Fax Number:
989-790-7680
Patients can reach Mr. Derek Robert Tesoro at 5400 Mackinaw, Suite 2100, Saginaw, Michigan or can call to book an appointment on 989-790-4662. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.