Dr Richard H Tidwell, MD | |
2485 N Main St, Jay, OK 74346-0987 | |
(918) 253-2550 | |
(918) 253-2122 |
Full Name | Dr Richard H Tidwell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 2485 N Main St, Jay, Oklahoma |
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 |
---|---|---|---|
1346208725 | NPI | - | NPPES |
200134610A | Medicaid | OK | |
100102630F | Medicaid | OK | |
201190171 | Other | OK | TRI CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18708 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
Amedisys Home Health | Grove, OK | Home health agency |
Physician's Choice In Care | Tulsa, OK | Hospice |
Good Shepherd Hospice | Grove, OK | Hospice |
Integris Grove Hospital | Grove, OK | Hospital |
Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
Grand Lake Villa | Grove, OK | Nursing home |
Betty Ann Nursing Center | Grove, OK | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Center Of Northeast Oklahoma, Inc | 9133352081 | 6 |
Entity Name | Community Health Center Of Northeast Oklahoma, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821410648 PECOS PAC ID: 9133352081 Enrollment ID: O20140610000303 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard H Tidwell, MD Po Box 987, 2485 N Main St, Jay, OK 74346-0987 Ph: (918) 253-2550 | Dr Richard H Tidwell, MD 2485 N Main St, Jay, OK 74346-0987 Ph: (918) 253-2550 |
Dr. George Thomas Conrad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-253-4271 Fax: 918-253-2531 | |
Calin Kirk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 859 E Melton Dr, Jay, OK 74346 Phone: 918-253-1700 Fax: 918-253-3287 | |
Dr. Deirdre Ann Mcauley, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 W Washbourne St, Jay, OK 74346 Phone: 918-253-1700 Fax: 918-253-2531 | |
Dr. Darrell Robert Mease, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 659 S. 14th St., Bldg. B, Jay, OK 74346 Phone: 918-253-6418 Fax: 918-253-4066 |