Paul Timothy Tidmore, NP in Knoxville, TN - Medicare Nurse Practitioner

Paul Timothy Tidmore, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Knoxville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Covenant Medical Group Inc, Integrated Wound Care Tennessee Pllc and his current practice location is 2210 Sutherland Ave Ste 110, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 525-4333.

Paul Timothy Tidmore is licensed to practice in Tennessee (license number 14982) 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 1457671380.

Contact Information

	Paul Timothy Tidmore, NP
	2210 Sutherland Ave Ste 110, Knoxville, TN 37919-2337
	(865) 525-4333
	(865) 374-2203

Map and Direction

Provider's Profile

Full Name	Paul Timothy Tidmore
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	2210 Sutherland Ave Ste 110, Knoxville, Tennessee
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:

Paul Timothy Tidmore attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2009

NPI Data:

NPI Number: 1457671380
Provider Enumeration Date: 06/02/2010
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9537342183
Enrollment ID: I20110321000329

Medical Identifiers

Medical identifiers for Paul Timothy Tidmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457671380	NPI	-	NPPES
1523332	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	14982 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Sanders Regional Medical Center	Knoxville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Medical Group Inc	2860305463	281
Integrated Wound Care Tennessee Pllc	8527394477	14

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. Paul Timothy Tidmore allows following entities to bill medicare on his behalf.

Entity Name	East Tennessee Surgical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164589628 PECOS PAC ID: 2365497765 Enrollment ID: O20050318000318

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

Entity Name	Integrated Wound Care Tennessee Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215593991 PECOS PAC ID: 8527394477 Enrollment ID: O20190730002619

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. Paul Timothy Tidmore 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
Paul Timothy Tidmore, NP 460 Medical Park Dr Ste 106, Lenoir City, TN 37772-5782 Ph: (865) 988-4452	Paul Timothy Tidmore, NP 2210 Sutherland Ave Ste 110, Knoxville, TN 37919-2337 Ph: (865) 525-4333

Reviews and Comments

Nurse Practitioner Nurses in Knoxville, TN

Mrs. Patricia M Huddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1940 Alcoa Hwy, Ste 180, Knoxville, TN 37920 Phone: 865-305-6955 Fax: 865-305-8238
Mrs. Sara A Jones, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920 Phone: 865-305-8780 Fax: 865-305-8199
Rachel Payne, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 20th St Ste 505, Knoxville, TN 37916 Phone: 865-546-0157 Fax: 865-374-2177
Cynthia Gail Meadows, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1926 Alcoa Hwy Bldg F Ste 380, Knoxville, TN 37920 Phone: 865-544-9171 Fax: 865-305-6886
Emily A. Radcliffe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9333 Park West Blvd, Knoxville, TN 37923 Phone: 865-531-4600 Fax: 865-690-2271
Sydney Wallace Sherrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Accelerator Way Ste 200, Knoxville, TN 37920 Phone: 865-546-2663
Madeline Kaye Dangerfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11416 Grigsby Chapel Rd, Ste 103, Knoxville, TN 37934 Phone: 865-966-2688 Fax: 865-777-0613

Paul Timothy Tidmore, NP - Medicare Nurse Practitioner in Knoxville, TN