Dr Ronald Coury Tisdale, MD is a medicare enrolled "Family Medicine" provider in Selma, Alabama. His current practice location is
1023 Medical Center Pkwy, Selma, Alabama. You can reach out to his office (for appointments etc.) via phone at
(650) 387-2272.
Dr Ronald Coury Tisdale is licensed to practice in Alabama (license number MD.41401) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790203461.
Healthcare Provider's Profile
| Full Name | Dr Ronald Coury Tisdale |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1023 Medical Center Pkwy, Selma, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ronald Coury Tisdale attended and graduated from in
NPI Data:
- NPI Number: 1790203461
- Provider Enumeration Date: 09/01/2017
- Last Update Date: 09/02/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ronald Coury Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790203461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | MD.41401 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | MD.41401 (Alabama) | Primary |
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. Dr Ronald Coury Tisdale 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 |
|---|
Dr Ronald Coury Tisdale, MD
625 19th St S,
Birmingham, AL 35233-1900
Ph: (650) 387-2272 | Dr Ronald Coury Tisdale, MD
1023 Medical Center Pkwy,
Selma, AL 36701-6750
Ph: (650) 387-2272 |
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