Leslie G Tidwell, MD in Macon, GA - Medicare Family Medicine

Leslie G Tidwell, MD is a medicare enrolled "Family Medicine" physician in Macon, Georgia. Her current practice location is 3448 Vineville Ave, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 405-0045.

Leslie G Tidwell is licensed to practice in Georgia (license number 44359) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568419216.

Contact Information

	Leslie G Tidwell, MD
	3448 Vineville Ave, Macon, GA 31204-1867
	(478) 405-0045
	(478) 405-0054

Map and Direction

Physician's Profile

Full Name	Leslie G Tidwell
Gender	Female
Speciality	Family Medicine
Location	3448 Vineville Ave, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568419216
Provider Enumeration Date: 05/28/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 7012017320
Enrollment ID: I20080527000051

Medical Identifiers

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

Identifier	Type	State	Issuer
1568419216	NPI	-	NPPES
000866907A	Medicaid	GA
000866907B	Medicaid	GA
202I169707	Other	GA	MEDICARE ID
GRP7599	Other	GA	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	44359 (Georgia)	Secondary
207Q00000X	Family Medicine	44359 (Georgia)	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. Leslie G Tidwell allows following entities to bill medicare on her behalf.

Entity Name	Vineville Internal Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396955431 PECOS PAC ID: 0941281711 Enrollment ID: O20060223000410

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. Leslie G 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
Leslie G Tidwell, MD 3448 Vineville Ave, Macon, GA 31204-1867 Ph: (478) 405-0045	Leslie G Tidwell, MD 3448 Vineville Ave, Macon, GA 31204-1867 Ph: (478) 405-0045

Reviews and Comments

Family Medicine Doctors in Macon, GA

Dr. Shuichi Nakai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Eisenhower Pkwy, Macon, GA 31206 Phone: 478-633-5550 Fax: 478-633-7287
Sam G Amporful, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Riverside Drive Lane, Macon, GA 31201 Phone: 478-259-3439 Fax: 478-254-2733
Mrs. Stephanie Faye Bennett, Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Gateway Drive, Macon, GA 31210 Phone: 478-210-1670
Dr. Robert C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr Ste B300, Macon, GA 31210 Phone: 478-405-5252 Fax: 478-477-8411
Alice Rose House, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 College St, Suite A, Macon, GA 31207 Phone: 478-301-4111 Fax: 478-301-5812
Dione Duc, Family Medicine Medicare: Medicare Enrolled Practice Location: 777 Hemlock St # 104, Macon, GA 31201 Phone: 478-633-7550 Fax: 478-633-3235
Collier Branan Gladin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 N Crest Blvd, Macon, GA 31210 Phone: 478-757-8335 Fax: 478-757-8353

Leslie G Tidwell, MD - Medicare Family Medicine in Macon, GA