Randy Tidwell, APN in Portland, TN

Randy Tidwell, APN is a medicare enrolled "Nurse Practitioner - Family" in Portland, Tennessee. His current practice location is 421 N Broadway, Portland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 323-1020.

Randy Tidwell is licensed to practice in Tennessee (license number 13982) 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 1164661674.

Contact Information

	Randy Tidwell, APN
	421 N Broadway, Portland, TN 37148-1750
	(615) 323-1020
	(615) 323-1021

Map and Direction

Provider's Profile

Full Name	Randy Tidwell
Gender	Male
Speciality
Experience	Years
Location	421 N Broadway, Portland, 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:

Randy Tidwell attended and graduated from in

NPI Data:

NPI Number: 1164661674
Provider Enumeration Date: 02/08/2009
Last Update Date: 08/03/2012

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Randy Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164661674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13982 (Tennessee)	Primary

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. Randy 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
Randy Tidwell, APN Po Box 507, 421 N Broadway, Portland, TN 37148-0507 Ph: (615) 323-1020	Randy Tidwell, APN 421 N Broadway, Portland, TN 37148-1750 Ph: (615) 323-1020

Reviews and Comments

Nurse Practitioner Nurses in Portland, TN

Ms. Alissa Kaye Marshall, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 569 Cook Rd, Portland, TN 37148 Phone: 770-778-0747
Tasha Ruffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Highland Circle Dr, Portland, TN 37148 Phone: 615-325-9263
Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792
Lisa Nazarenus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936
Ms. Paula Claire Havelin, FNP, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263

Randy Tidwell, APN - Medicare in Portland, TN