Julia Anne Tidik, PMHNP in San Luis Obispo, CA

Julia Anne Tidik, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Luis Obispo, California. Her current practice location is 784 High St, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 540-6500.

Julia Anne Tidik is licensed to practice in California (license number 95009437) 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 1396299525.

Contact Information

	Julia Anne Tidik, PMHNP
	784 High St, San Luis Obispo, CA 93401-5243
	(805) 540-6500
	Not Available

Map and Direction

Provider's Profile

Full Name	Julia Anne Tidik
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	784 High St, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396299525
Provider Enumeration Date: 08/04/2016
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7719262674
Enrollment ID: I20170316001571

Medical Identifiers

Medical identifiers for Julia Anne Tidik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396299525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60469015 (Washington)	Secondary
163W00000X	Registered Nurse	95157097 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60683021 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95009437 (California)	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. Julia Anne Tidik allows following entities to bill medicare on her behalf.

Entity Name	Valley Cities Counseling And Consultation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972668853 PECOS PAC ID: 6406842053 Enrollment ID: O20040421000498

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. Julia Anne Tidik 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
Julia Anne Tidik, PMHNP 784 High St, San Luis Obispo, CA 93401-5243 Ph: () -	Julia Anne Tidik, PMHNP 784 High St, San Luis Obispo, CA 93401-5243 Ph: (805) 540-6500

Reviews and Comments

Nurse Practitioner Nurses in San Luis Obispo, CA

John Garza, NP, LCSW Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1585 Kansas Ave, San Luis Obispo, CA 93405 Phone: 800-353-5400
Lauren Elvira Mirabdollah, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Casa St, Suite 201-204, San Luis Obispo, CA 93405 Phone: 805-269-1500 Fax: 805-269-1585
Michelle Alena Taylor, R.N., M.S.N., A.C.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1194 Pacific Street, Suite 100, San Luis Obispo, CA 93401 Phone: 805-781-9111 Fax: 805-788-0764
Avery John Paulson, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-431-1334
Michele L Day-brooks, RN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Grand Ave, San Luis Obispo, CA 93401 Phone: 805-544-2478
Jennifer Poe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-7640
Patricia M. Odum, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427

Julia Anne Tidik, PMHNP - Medicare Nurse Practitioner in San Luis Obispo, CA