Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER in Montgomery, AL

Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Montgomery, Alabama. Her current practice location is 233 Winton Blount Loop, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 350-5648.

Dr Marilyn Loretta Tidwell -shoemaker is licensed to practice in California (license number 95013184) 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 1144867409.

Contact Information

	Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER
	233 Winton Blount Loop, Montgomery, AL 36117-3507
	(334) 350-5648
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Marilyn Loretta Tidwell -shoemaker
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	233 Winton Blount Loop, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144867409
Provider Enumeration Date: 12/05/2019
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4385071505
Enrollment ID: I20230911000650

Medical Identifiers

Medical identifiers for Dr Marilyn Loretta Tidwell -shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144867409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95013184 (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. Dr Marilyn Loretta Tidwell -shoemaker allows following entities to bill medicare on her behalf.

Entity Name	River Region Psychiatry Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20081124000448

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. Dr Marilyn Loretta Tidwell -shoemaker 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
Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER 233 Winton Blount Loop, Montgomery, AL 36117-3507 Ph: (334) 239-2622	Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER 233 Winton Blount Loop, Montgomery, AL 36117-3507 Ph: (334) 350-5648

Reviews and Comments

Nurse Practitioner Nurses in Montgomery, AL

Kathryn Nicole Logan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116 Phone: 334-747-7780 Fax: 334-747-7790
Mrs. Katelyn Perry Barnes, NP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 488 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-288-7808 Fax: 334-288-8089
Christine Morris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7125 University Ct, Montgomery, AL 36117 Phone: 334-239-2622
Dr. Morgan Renee Carter, DNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4145 Carmichael Rd, Montgomery, AL 36106 Phone: 334-273-7000 Fax: 334-273-2228
Kaitlyn Wells, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6940 Winton Blount Blvd, Montgomery, AL 36117 Phone: 334-279-9211
Angela K Rayborn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1725 W 4th St # Na, Montgomery, AL 36106 Phone: 334-262-2071
Brittney Marie Barber, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7065 Sydney Curv, Montgomery, AL 36117 Phone: 334-495-2600 Fax: 334-495-2604

Dr Marilyn Loretta Tidwell -shoemaker, NURSE PRACTITIONER - Medicare Nurse Practitioner in Montgomery, AL