Dr Nicholas E Tisdale, MD in Las Vegas, NV - Medicare Internal Medicine

Dr Nicholas E Tisdale, MD is a medicare enrolled "Internal Medicine" physician in Las Vegas, Nevada. His current practice location is 5380 S Rainbow Blvd Ste 236, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 778-2204.

Dr Nicholas E Tisdale is licensed to practice in Nevada (license number 22993) 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 1962023754.

Contact Information

	Dr Nicholas E Tisdale, MD
	5380 S Rainbow Blvd Ste 236, Las Vegas, NV 89118-1879
	(702) 778-2204
	(702) 688-4371

Map and Direction

Physician's Profile

Full Name	Dr Nicholas E Tisdale
Gender	Male
Speciality	Internal Medicine
Location	5380 S Rainbow Blvd Ste 236, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962023754
Provider Enumeration Date: 05/03/2020
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7012330194
Enrollment ID: I20230809002176

Medical Identifiers

Medical identifiers for Dr Nicholas E Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962023754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	22993 (Nevada)	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. Dr Nicholas E Tisdale allows following entities to bill medicare on his behalf.

Entity Name	Parker Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558807313 PECOS PAC ID: 4789958802 Enrollment ID: O20170927003528

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. Dr Nicholas E Tisdale 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
Dr Nicholas E Tisdale, MD 5380 S Rainbow Blvd Ste 236, Las Vegas, NV 89118-1879 Ph: (702) 778-2204	Dr Nicholas E Tisdale, MD 5380 S Rainbow Blvd Ste 236, Las Vegas, NV 89118-1879 Ph: (702) 778-2204

Reviews and Comments

Internal Medicine Doctors in Las Vegas, NV

Dr. Arshi A. Quadeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106 Phone: 702-851-7766 Fax: 702-851-7760
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Michael M Lee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-921-6823 Fax: 702-549-5240
Henry Palangdao Igid, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 653 N Town Center Dr Ste 402, Las Vegas, NV 89144 Phone: 702-243-7200 Fax: 702-243-7235
Ian Adrian Fanoga Frani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-383-3875
Nisha Ajay Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 803-729-0793
Sein Tun, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4000

Dr Nicholas E Tisdale, MD - Medicare Internal Medicine in Las Vegas, NV