Mr Jimmy Lee Tisdale, APRN, FNP-C in Oklahoma City, OK

Mr Jimmy Lee Tisdale, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 7117 W Wilshire Blvd, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 470-1224.

Mr Jimmy Lee Tisdale is licensed to practice in Oklahoma (license number R80659) 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 1477992253.

Contact Information

	Mr Jimmy Lee Tisdale, APRN, FNP-C
	7117 W Wilshire Blvd, Oklahoma City, OK 73132-5575
	(405) 470-1224
	(405) 217-0063

Map and Direction

Provider's Profile

Full Name	Mr Jimmy Lee Tisdale
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	7117 W Wilshire Blvd, Oklahoma City, Oklahoma
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:

Mr Jimmy Lee Tisdale graduated from nursing school in 2013

NPI Data:

NPI Number: 1477992253
Provider Enumeration Date: 06/14/2013
Last Update Date: 02/13/2020

Medicare PECOS Information:

PECOS PAC ID: 0446494397
Enrollment ID: I20130917000133

Medical Identifiers

Medical identifiers for Mr Jimmy Lee Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477992253	NPI	-	NPPES
200500020A	Medicaid	OK
200599270A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R80659 (Oklahoma)	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. Mr Jimmy Lee Tisdale allows following entities to bill medicare on his behalf.

Entity Name	Express Family Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861873085 PECOS PAC ID: 3072820885 Enrollment ID: O20150910002607

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. Mr Jimmy Lee Tisdale 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
Mr Jimmy Lee Tisdale, APRN, FNP-C 7117 W Wilshire Blvd, Oklahoma City, OK 73132-5575 Ph: (405) 470-1224	Mr Jimmy Lee Tisdale, APRN, FNP-C 7117 W Wilshire Blvd, Oklahoma City, OK 73132-5575 Ph: (405) 470-1224

Reviews and Comments

Nurse Practitioner Nurses in Oklahoma City, OK

Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215

Mr Jimmy Lee Tisdale, APRN, FNP-C - Medicare Nurse Practitioner in Oklahoma City, OK