Cody D Tidwell, MD in Minneapolis, MN - Medicare Anesthesiology

Cody D Tidwell, MD is a medicare enrolled "Anesthesiology" physician in Minneapolis, Minnesota. His current practice location is 420 Delaware St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 625-4116.

Cody D Tidwell is licensed to practice in Utah (license number 13284677-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033672837.

Contact Information

	Cody D Tidwell, MD
	420 Delaware St Se, Minneapolis, MN 55455-0341
	(612) 625-4116
	Not Available

Map and Direction

Physician's Profile

Full Name	Cody D Tidwell
Gender	Male
Speciality	Anesthesiology
Location	420 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033672837
Provider Enumeration Date: 04/09/2019
Last Update Date: 11/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6204163876
Enrollment ID: I20230721003118

Medical Identifiers

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

Identifier	Type	State	Issuer
1033672837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	13284677-1205 (Utah)	Secondary
207L00000X	Anesthesiology	13284677-1205 (Utah)	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. Cody D Tidwell allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Cody D 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
Cody D Tidwell, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: () -	Cody D Tidwell, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 625-4116

Reviews and Comments

Anesthesiology Doctors in Minneapolis, MN

Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000
Brian Tolly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000

Cody D Tidwell, MD - Medicare Anesthesiology in Minneapolis, MN