Grace Tidwell, MD in West Sacramento, CA - Medicare Family Practice

Grace Tidwell, MD is a medicare enrolled "Family Medicine" physician in West Sacramento, California. She went to University Of South Florida College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Elica Health Centers and her current practice location is 155 15th St Ste A, West Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 454-2345.

Grace Tidwell is licensed to practice in California (license number 160389) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437579786.

Contact Information

	Grace Tidwell, MD
	155 15th St Ste A, West Sacramento, CA 95691-3737
	(916) 454-2345
	(916) 457-2667

Map and Direction

Physician's Profile

Full Name	Grace Tidwell
Gender	Female
Speciality	Family Practice
Experience	10 Years
Location	155 15th St Ste A, West Sacramento, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Grace Tidwell attended and graduated from University Of South Florida College Of Medicine in 2014

NPI Data:

NPI Number: 1437579786
Provider Enumeration Date: 04/24/2014
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4789902040
Enrollment ID: I20190516001300

Medical Identifiers

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

Identifier	Type	State	Issuer
1437579786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	160389 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elica Health Centers	4385706845	19

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. Grace Tidwell allows following entities to bill medicare on her behalf.

Entity Name	Elica Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598

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. Grace 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
Grace Tidwell, MD 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 569-8484	Grace Tidwell, MD 155 15th St Ste A, West Sacramento, CA 95691-3737 Ph: (916) 454-2345

Reviews and Comments

Family Medicine Doctors in West Sacramento, CA

Dr. Olga Marat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Jefferson Blvd, West Sacramento, CA 95605 Phone: 916-403-2900
Dr. Edwin Alphonse Lichwa Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-375-6400
Mr. Marc L. Concepcion, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Stone Blvd. Suite 190, West Sacramento, CA 95691 Phone: 916-371-4939 Fax: 916-371-2996
Alicja Correll, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Stone Blvd Ste 190, West Sacramento, CA 95691 Phone: 916-371-4939
Dr. Maria Elena Fuentes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 813 Harbor Blvd # 300, West Sacramento, CA 95691 Phone: 916-682-1088
Sorren Lindstrom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 B Jefferson Boulevard, Suites #180 & #195, West Sacramento, CA 95605 Phone: 916-403-2900 Fax: 530-204-5248
Abhinandan Kumar Bhagat, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 916-454-2345

Grace Tidwell, MD - Medicare Family Practice in West Sacramento, CA