Ms Kathy Matlock Tidwell, LCSW in Boise, ID - Medicare Social Worker Provider

Ms Kathy Matlock Tidwell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. Her current practice location is 5999 W State St Ste B, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 853-5095.

Ms Kathy Matlock Tidwell is licensed to practice in Idaho (license number LCSW 858) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083767131.

Contact Information

	Ms Kathy Matlock Tidwell, LCSW
	5999 W State St Ste B, Boise, ID 83703-3039
	(208) 853-5095
	(208) 853-5125

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kathy Matlock Tidwell
Gender	Female
Speciality	Social Worker - Clinical
Location	5999 W State St Ste B, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083767131
Provider Enumeration Date: 01/20/2007
Last Update Date: 09/16/2019

Medicare PECOS Information:

PECOS PAC ID: 2163498742
Enrollment ID: I20041216000886

Medical Identifiers

Medical identifiers for Ms Kathy Matlock Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083767131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 858 (Idaho)	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. Ms Kathy Matlock Tidwell allows following entities to bill medicare on her behalf.

Entity Name	Tidwell Social Work Services And Consulting Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760891063 PECOS PAC ID: 2163643511 Enrollment ID: O20141028001480

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. Ms Kathy Matlock 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
Ms Kathy Matlock Tidwell, LCSW 7285 W Franklin Rd, Boise, ID 83709-0926 Ph: (208) 853-5095	Ms Kathy Matlock Tidwell, LCSW 5999 W State St Ste B, Boise, ID 83703-3039 Ph: (208) 853-5095

Reviews and Comments

Social Worker in Boise, ID

Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606
Kristie Kaes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812

Ms Kathy Matlock Tidwell, LCSW - Medicare Clinical Social Worker in Boise, ID