Douglas Tidwell, MSN, ARNP, FNP-C in Sarasota, FL

Douglas Tidwell, MSN, ARNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sarasota, Florida. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Connexis Medical Services Llc and his current practice location is 5955 Rand Blvd, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 552-7508.

Douglas Tidwell is licensed to practice in Florida (license number 9326689) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689079337.

Contact Information

	Douglas Tidwell, MSN, ARNP, FNP-C
	5955 Rand Blvd, Sarasota, FL 34238-5160
	(941) 552-7508
	(941) 552-7605

Map and Direction

Provider's Profile

Full Name	Douglas Tidwell
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	5955 Rand Blvd, Sarasota, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Tidwell graduated from nursing school in 2014

NPI Data:

NPI Number: 1689079337
Provider Enumeration Date: 10/23/2014
Last Update Date: 11/20/2019

Medicare PECOS Information:

PECOS PAC ID: 9739405507
Enrollment ID: I20150316000057

Medical Identifiers

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

Identifier	Type	State	Issuer
1689079337	NPI	-	NPPES
IB924Z	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN9326689 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	9326689 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarasota Memorial Hospital	Sarasota, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connexis Medical Services Llc	2163550518	8

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. Douglas Tidwell allows following entities to bill medicare on his behalf.

Entity Name	Connexis Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699002097 PECOS PAC ID: 2163550518 Enrollment ID: O20100506000158

Entity Name	Living Well Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942847256 PECOS PAC ID: 5799108767 Enrollment ID: O20200709000631

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. Douglas 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
Douglas Tidwell, MSN, ARNP, FNP-C 4435 Spahn St, Sarasota, FL 34232-5135 Ph: (941) 726-2082	Douglas Tidwell, MSN, ARNP, FNP-C 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 552-7508

Reviews and Comments

Nurse Practitioner Nurses in Sarasota, FL

Ms. Wanda Krakowski Hoerning, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7816 Camminare Dr, Sarasota, FL 34238 Phone: 941-923-9048
Paula Rene Sanders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Ringling Blvd, Sarasota, FL 34237 Phone: 941-861-2900
Derek Jason Sisk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3554 65th Avenue Cir E, Sarasota, FL 34243 Phone: 941-250-4279
Jennifer Szczuka, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2881 Hyde Park St, Sarasota, FL 34239 Phone: 941-366-5440 Fax: 941-366-5793
Kayla Maureen Mcnulty, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6305 Initiative Blvd., Ste 101, Sarasota, FL 34240 Phone: 941-202-3500
Karen Emma Mignone Ferris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1921 Waldemere St, Ste 705, Sarasota, FL 34239 Phone: 941-366-5864 Fax: 941-316-9819
Stephanie Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-9000

Douglas Tidwell, MSN, ARNP, FNP-C - Medicare Nurse Practitioner in Sarasota, FL