Individual
DR. SCOTT A. TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2351 PHILLIPS RD, TALLAHASSEE, FL 32308-5333
(850) 877-8166
(850) 877-0431
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3550
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME65204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256881100
—
FL
01
—
830005937
RR MEDICARE
FL
Enumeration date
11/29/2005
Last updated
09/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us