Mr Timothy Scott Tidwell Ii, DNP, NP-C in Oklahoma City, OK

Mr Timothy Scott Tidwell Ii, DNP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. His current practice location is 12221 Heathfield Ln, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 647-1648.

Mr Timothy Scott Tidwell Ii is licensed to practice in Oklahoma (license number 101752) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326530676.

Contact Information

	Mr Timothy Scott Tidwell Ii, DNP, NP-C
	12221 Heathfield Ln, Oklahoma City, OK 73173-7011
	(918) 647-1648
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Timothy Scott Tidwell Ii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	12221 Heathfield Ln, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326530676
Provider Enumeration Date: 06/02/2018
Last Update Date: 06/02/2018

Medicare PECOS Information:

PECOS PAC ID: 3971845231
Enrollment ID: I20190507001498

Medical Identifiers

Medical identifiers for Mr Timothy Scott Tidwell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326530676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	101752 (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 Timothy Scott Tidwell Ii allows following entities to bill medicare on his behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

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 Timothy Scott Tidwell Ii 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 Timothy Scott Tidwell Ii, DNP, NP-C 12221 Heathfield Ln, Oklahoma City, OK 73173-7011 Ph: (918) 647-1648	Mr Timothy Scott Tidwell Ii, DNP, NP-C 12221 Heathfield Ln, Oklahoma City, OK 73173-7011 Ph: (918) 647-1648

Reviews and Comments

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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
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Mr Timothy Scott Tidwell Ii, DNP, NP-C - Medicare Nurse Practitioner in Oklahoma City, OK