Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE in Riverview, FL

Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE is a medicare enrolled "Social Worker - Clinical" provider in Riverview, Florida. His current practice location is 5905 Us 301 S, Riverview, Florida. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Mr Benjamin L Tidwell is licensed to practice in Arkansas (license number 1283C) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861407520.

Contact Information

	Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE
	5905 Us 301 S, Riverview, FL 33578-3800
	(866) 389-2727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Benjamin L Tidwell
Gender	Male
Speciality	Social Worker - Clinical
Location	5905 Us 301 S, Riverview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861407520
Provider Enumeration Date: 07/30/2006
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1355441940
Enrollment ID: I20070711000858

Medical Identifiers

Medical identifiers for Mr Benjamin L Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861407520	NPI	-	NPPES
175962795	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1283C (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Benjamin L Tidwell allows following entities to bill medicare on his behalf.

Entity Name	Chenal Family Therapy Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717

Entity Name	Bmsc Az Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20220831001385

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221228002076

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Benjamin L Tidwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE 35 Goff St, Vilonia, AR 72173-9315 Ph: (501) 580-0116	Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE 5905 Us 301 S, Riverview, FL 33578-3800 Ph: (866) 389-2727

Reviews and Comments

Social Worker in Riverview, FL

Allison Diane Hebert Stainton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6152 Delancey Station St Ste 206, Riverview, FL 33578 Phone: 813-445-6122 Fax: 813-445-6122
Thamers Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11287 Winthrop Main St, Riverview, FL 33578 Phone: 813-401-6188
Katina D Young, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11937 Sunburst Marble Rd, Riverview, FL 33579 Phone: 847-970-1919
Stephanie Jara, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13194 Us Highway 301 S Unit 210, Riverview, FL 33578 Phone: 929-245-2704
Kim Perez Schneider, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10142 Haverhill Ridge Dr, Riverview, FL 33578 Phone: 813-340-1283 Fax: 813-626-0067
Kelly Snee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-789-3356
Christa Jallorina, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11309 Emerald Shore Dr, Riverview, FL 33579 Phone: 571-719-7718

Mr Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE - Medicare Clinical Social Worker in Riverview, FL