Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eleanor Theresa Tedesco, MD

Individual provider Psychiatry Physician · NPI 1700930914

Dr. Eleanor Theresa Tedesco, MD is a Psychiatry in Myrtle Beach, South Carolina. Qualified in 1994, 32 years ago. Practices with Supportive Behavioral Care of MA LLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and South Carolina.

Years since qualifying
32
Licensed in
MA, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3922 Glenmere Dr
Myrtle Beach, SC 29588-6769
Phone: (508) 769-2364
Fax: (843) 668-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 87398 (SC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 152283 (MA)

Record details

NPI number1700930914
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Supportive Behavioral Care Of Ma Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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