Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS in Dallas, TX

Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dallas, Texas. Her current practice location is 1935 Medical District Dr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 456-2331.

Dr Jerithea Doronice Tidwell is licensed to practice in Texas (license number AP117669) 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 1134387558.

Contact Information

	Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS
	1935 Medical District Dr, Dallas, TX 75235-7701
	(214) 456-2331
	(214) 456-2897

Map and Direction

Provider's Profile

Full Name	Dr Jerithea Doronice Tidwell
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1935 Medical District Dr, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134387558
Provider Enumeration Date: 06/02/2008
Last Update Date: 09/03/2021

Medicare PECOS Information:

PECOS PAC ID: 1456694199
Enrollment ID: I20190520002485

Medical Identifiers

Medical identifiers for Dr Jerithea Doronice Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134387558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	APN0000011923 (Tennessee)	Secondary
364S00000X	Clinical Nurse Specialist	AP117669 (Texas)	Secondary
364SP0200X	Clinical Nurse Specialist - Pediatrics	659941 (Texas)	Secondary
364SP0200X	Clinical Nurse Specialist - Pediatrics	APN0000011923 (Tennessee)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP117669 (Texas)	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 Jerithea Doronice Tidwell allows following entities to bill medicare on her behalf.

Entity Name	Dallas Physician Medical Services For Children Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673

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 Jerithea Doronice 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
Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS 1935 Medical District Dr, Dallas, TX 75235-7701 Ph: (214) 456-2331	Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS 1935 Medical District Dr, Dallas, TX 75235-7701 Ph: (214) 456-2331

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Dr Jerithea Doronice Tidwell, RN PHD, PNP, PCNS - Medicare Nurse Practitioner in Dallas, TX