Caitlin Brooke Tidwell, MD | |
14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 | |
(803) 434-1663 | |
(803) 434-3894 |
Full Name | Caitlin Brooke Tidwell |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 14 Richland Medical Park Dr Ste 350, Columbia, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881117828 | NPI | - | NPPES |
512663 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | LL51266 (South Carolina) | Secondary |
207P00000X | Emergency Medicine | 51266 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 881 |
Entity Name | Mcleod Health Cheraw |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Entity Name | App Of South Carolina Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457878084 PECOS PAC ID: 3577821107 Enrollment ID: O20180103000650 |
Entity Name | Lexington County Health Services District Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194380600 PECOS PAC ID: 7618871799 Enrollment ID: O20191118002076 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Brooke Tidwell, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Caitlin Brooke Tidwell, MD 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 Ph: (803) 434-1663 |
Daniel Elliott Baker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Erik Myhrer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 | |
William John Donohue Fraser, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Emergency Medicine, 14 Medical Park, Ste 350, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Garrett Wade Snyder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Ste 350, Emergency Medicine Department, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Lori Cibik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3 Medical Park - Ste 350, Emergency Medicine Dept, Columbia, SC 29203 Phone: 803-434-3790 Fax: 803-434-3946 | |
Dr. Jeffrey D Sarata, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3016 Longtown Commons Dr Ste 100, Columbia, SC 29229 Phone: 803-314-0500 | |
Joshua Benjamin Skaggs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-1663 Fax: 803-434-3894 |