Brenae Mckenzie Tidwell, is a
Occupational Therapist based in Idabel, Oklahoma. Brenae Mckenzie Tidwell is licensed to practice in Oklahoma (license number 5689) and her current practice location is
1301 E Lincoln Rd, Idabel, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 286-7623.
NPI number for Brenae Mckenzie Tidwell is 1437873056 and her current mailing address is 5317 Ne Lincoln Rd, Idabel, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437873056.
Healthcare Provider's Profile
| Full Name | Brenae Mckenzie Tidwell |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1301 E Lincoln Rd, Idabel, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437873056
- Provider Enumeration Date: 09/27/2022
- Last Update Date: 09/27/2022
Medical Identifiers
Medical identifiers for Brenae Mckenzie Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437873056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 123070 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 5689 (Oklahoma) | 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. Brenae Mckenzie Tidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenae Mckenzie Tidwell,
5317 Ne Lincoln Rd,
Idabel, OK 74745-2431
Ph: (580) 236-5069 | Brenae Mckenzie Tidwell,
1301 E Lincoln Rd,
Idabel, OK 74745-7300
Ph: (580) 286-7623 |
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