Kristen Tidwell, MS, RD, LD, CNSC in Missouri City, TX - Medicare Dietitian, Registered Provider

Kristen Tidwell, MS, RD, LD, CNSC is a medicare enrolled "Dietitian, Registered" provider in Missouri City, Texas. Her current practice location is 15 Veneto Ln, Missouri City, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 995-1323.

Kristen Tidwell is licensed to practice in Texas (license number DT80388) 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 1053884742.

Contact Information

	Kristen Tidwell, MS, RD, LD, CNSC
	15 Veneto Ln, Missouri City, TX 77459-1166
	(281) 995-1323
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Tidwell
Gender	Female
Speciality	Dietitian, Registered
Location	15 Veneto Ln, Missouri City, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053884742
Provider Enumeration Date: 01/06/2019
Last Update Date: 01/06/2019

Medicare PECOS Information:

PECOS PAC ID: 7315280179
Enrollment ID: I20190517000793

Medical Identifiers

Medical identifiers for Kristen Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053884742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT80388 (Texas)	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. Kristen Tidwell allows following entities to bill medicare on her behalf.

Provider Name	Privia Medical Group Gulf Coast Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763

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. Kristen 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
Kristen Tidwell, MS, RD, LD, CNSC 15 Veneto Ln, Missouri City, TX 77459-1166 Ph: (281) 995-1323	Kristen Tidwell, MS, RD, LD, CNSC 15 Veneto Ln, Missouri City, TX 77459-1166 Ph: (281) 995-1323

Reviews and Comments

Dietitian, Registered in Missouri City, TX

Paulina Lee, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4923 Cypress Spring Dr, Missouri City, TX 77459 Phone: 832-964-5628
Amanda Bullock, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 810 Buckeye Pl, Missouri City, TX 77459 Phone: 713-483-4119
Andrea Moreno Parvis, MS ,RD, CSPCC, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8811 Wenona Walk, Missouri City, TX 77459 Phone: 832-723-4897
Stacey L Rhea, RD, LD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3323 Chandler Hollow Ln, Missouri City, TX 77459 Phone: 828-558-1259
Meagan Elizabeth Horne, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4306 Isaac Bay Dr, Missouri City, TX 77459 Phone: 713-870-7201
Courtney Ryan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3707 Caleb Ln, Missouri City, TX 77459 Phone: 254-709-4011

Kristen Tidwell, MS, RD, LD, CNSC - Medicare Dietitian in Missouri City, TX