Brett R Tidwell, DO | |
27 Mack Bayou Loop, Ste 2000, Santa Rosa Beach, FL 32459-2613 | |
(850) 267-2961 | |
(850) 622-5634 |
Full Name | Brett R Tidwell |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 12 Years |
Location | 27 Mack Bayou Loop, Santa Rosa Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417210352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OS13152 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sacred Heart Health System Inc | 3779491386 | 365 |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Brett R Tidwell, DO Po Box 2699, Attn: Shmg/hpe, Pensacola, FL 32513-2699 Ph: (850) 267-2961 | Brett R Tidwell, DO 27 Mack Bayou Loop, Ste 2000, Santa Rosa Beach, FL 32459-2613 Ph: (850) 267-2961 |
Ellen Jennifer Esses, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 E Mack Bayou Dr, Santa Rosa Beach, FL 32459 Phone: 850-267-2292 Fax: 850-267-3957 | |
Natalie Yazdani Tidwell, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 31 E Mack Bayou Dr, Santa Rosa Beach, FL 32459 Phone: 863-263-7172 | |
Anne Marie Piantanida-whitlock, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 27 Mack Bayou Loop, Suite 2000, Santa Rosa Beach, FL 32459 Phone: 850-267-2961 Fax: 850-622-5634 |