Nicole Lynn Tidd, in Orangeburg, SC - Medicare Nurse Practitioner

Nicole Lynn Tidd, is a medicare enrolled "Nurse Practitioner - Adult Health" in Orangeburg, South Carolina. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Musc Community Physicians and her current practice location is 1137 Cook Rd, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 531-0970.

Nicole Lynn Tidd is licensed to practice in South Carolina (license number 18998) 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 1700295284.

Contact Information

	Nicole Lynn Tidd,
	1137 Cook Rd, Orangeburg, SC 29118-8204
	(803) 531-0970
	(803) 395-2237

Map and Direction

Provider's Profile

Full Name	Nicole Lynn Tidd
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1137 Cook Rd, Orangeburg, South Carolina
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:

Nicole Lynn Tidd graduated from nursing school in 2014

NPI Data:

NPI Number: 1700295284
Provider Enumeration Date: 08/08/2014
Last Update Date: 11/22/2017

Medicare PECOS Information:

PECOS PAC ID: 5294042883
Enrollment ID: I20150915000941

Medical Identifiers

Medical identifiers for Nicole Lynn Tidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700295284	NPI	-	NPPES
GP6199	Other	SC	MEDICAID GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	18998 (South Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	18998 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Musc Community Physicians	6507260668	793

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. Nicole Lynn Tidd allows following entities to bill medicare on her behalf.

Entity Name	The Regional Medical Center Of Orangeburg And Calhoun Counties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Nicole Lynn Tidd 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
Nicole Lynn Tidd, Po Box 1245, Orangeburg, SC 29116-1245 Ph: (803) 395-2200	Nicole Lynn Tidd, 1137 Cook Rd, Orangeburg, SC 29118-8204 Ph: (803) 531-0970

Reviews and Comments

Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243

Nicole Lynn Tidd, - Medicare Nurse Practitioner in Orangeburg, SC