Barbara Ann Tisdale, MD is a
Internal Medicine physician based in Marathon, New York. Barbara Ann Tisdale is licensed to practice in New York (license number 162126) and her current practice location is 1517 Texas Valley Rd, Marathon, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 729-8563.
NPI number for Barbara Ann Tisdale is 1710905070 and her current mailing address is 1517 Texas Valley Rd, Marathon, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710905070.
Physician's Profile
| Full Name | Barbara Ann Tisdale |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1517 Texas Valley Rd, Marathon, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710905070
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 03/19/2015
Medical Identifiers
Medical identifiers for Barbara Ann Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710905070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 162126 (New York) | 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. Barbara Ann Tisdale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Barbara Ann Tisdale, MD
1517 Texas Valley Rd,
Marathon, NY 13803-2939
Ph: (315) 729-8563 | Barbara Ann Tisdale, MD
1517 Texas Valley Rd,
Marathon, NY 13803-2939
Ph: (315) 729-8563 |
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