Mrs Kayla Kizziah Tidwell, CRNP in Alexander City, AL

Mrs Kayla Kizziah Tidwell, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Alexander City, Alabama. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Russell Hospital Corporation and her current practice location is 3316 Highway 280, Alexander City, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 329-7100.

Mrs Kayla Kizziah Tidwell is licensed to practice in Alabama (license number 1-145314) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174020929.

Contact Information

	Mrs Kayla Kizziah Tidwell, CRNP
	3316 Highway 280, Alexander City, AL 35010-3369
	(256) 329-7100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kayla Kizziah Tidwell
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3316 Highway 280, Alexander City, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kayla Kizziah Tidwell graduated from nursing school in 2017

NPI Data:

NPI Number: 1174020929
Provider Enumeration Date: 04/09/2018
Last Update Date: 12/26/2020

Medicare PECOS Information:

PECOS PAC ID: 6406287762
Enrollment ID: I20200520003581

Medical Identifiers

Medical identifiers for Mrs Kayla Kizziah Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174020929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-145314 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Russell Medical Center	Alexander city, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Russell Hospital Corporation	6406754431	53

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. Mrs Kayla Kizziah Tidwell allows following entities to bill medicare on her behalf.

Entity Name	The Russell Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811913460 PECOS PAC ID: 6406754431 Enrollment ID: O20040109000579

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. Mrs Kayla Kizziah 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
Mrs Kayla Kizziah Tidwell, CRNP 1034 S Tallassee St, Dadeville, AL 36853-1844 Ph: (256) 825-9900	Mrs Kayla Kizziah Tidwell, CRNP 3316 Highway 280, Alexander City, AL 35010-3369 Ph: (256) 329-7100

Reviews and Comments

Nurse Practitioner Nurses in Alexander City, AL

Sheena C Hunter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Aliant Pkwy, Alexander City, AL 35010 Phone: 256-234-4131 Fax: 256-234-9979
Andrea Rashad, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Cherokee Rd, Alexander City, AL 35010 Phone: 317-658-0272
Mrs. Chloe L. Elrod, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3368 Highway 280 Ste 130, Alexander City, AL 35010 Phone: 256-234-2644
Mackenzie Thomas Ledbetter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Lee St, Alexander City, AL 35010 Phone: 256-212-9300 Fax: 256-212-9363
Maria Luisa Coxey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7100
Amanda Hardy, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 Airport Dr, Alexander City, AL 35010 Phone: 256-212-9300

Mrs Kayla Kizziah Tidwell, CRNP - Medicare Nurse Practitioner in Alexander City, AL