Jacob Bidwell, in Tucson, AZ - Medicare Pediatrics

Jacob Bidwell, is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Tucson, Arizona. His current practice location is 5301 E Grant Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 327-5461.

Jacob Bidwell is licensed to practice in Arizona (license number 57981) 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 1740634161.

Contact Information

	Jacob Bidwell,
	5301 E Grant Rd, Tucson, AZ 85712-2805
	(520) 327-5461
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Bidwell
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	5301 E Grant Rd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740634161
Provider Enumeration Date: 04/21/2016
Last Update Date: 05/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1850773300
Enrollment ID: I20220801002107

Medical Identifiers

Medical identifiers for Jacob Bidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740634161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	57981 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jacob Bidwell allows following entities to bill medicare on his behalf.

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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. Jacob Bidwell 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
Jacob Bidwell, 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: () -	Jacob Bidwell, 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 327-5461

Reviews and Comments

Pediatrics Doctors in Tucson, AZ

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Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097

Jacob Bidwell, - Medicare Pediatrics in Tucson, AZ