Steven M Tidwell, MD | |
5155 Corporate Way Ste A, Jupiter, FL 33458-4359 | |
(561) 624-0123 | |
(561) 624-1453 |
Full Name | Steven M Tidwell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 5155 Corporate Way Ste A, Jupiter, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538149216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | ME 62477 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Imaging Llc | 2466496880 | 106 |
Entity Name | Medical Technology Transfer Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
Entity Name | Sms Do Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346244100 PECOS PAC ID: 0143207530 Enrollment ID: O20040714000085 |
Entity Name | Elite Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346516853 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
Mailing Address | Practice Location Address |
---|---|
Steven M Tidwell, MD 52 Saint Thomas Dr, Palm Beach Gardens, FL 33418-4598 Ph: (561) 625-1626 | Steven M Tidwell, MD 5155 Corporate Way Ste A, Jupiter, FL 33458-4359 Ph: (561) 624-0123 |
Sandra Ramos Schneider, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477 Phone: 404-274-9897 | |
Sandra L Mondro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Scott Andrew Edwards, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5529 Pennock Point Rd, Jupiter, FL 33458 Phone: 561-398-7048 | |
Dr. Paul Cofnas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-5007 | |
David M Mullin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Kyle R Gormezano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Peacock Ln N, Jupiter, FL 33458 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Keith L Mullenger, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 875 Military Trl, Jupiter, FL 33458 Phone: 561-748-9828 Fax: 561-630-4543 |