Mrs Jennie Breanne Tidwell, OTR/L - Occupational Therapist in Carlisle, AR

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Mrs Jennie Breanne Tidwell, OTR/L is a Occupational Therapist based in Carlisle, Arkansas. Mrs Jennie Breanne Tidwell is licensed to practice in Arkansas (license number OTR2314) and her current practice location is 821 E Park St, Carlisle, Arkansas. She can be reached at her office (for appointments etc.) via phone at (870) 552-7110.

NPI number for Mrs Jennie Breanne Tidwell is 1114159688 and her current mailing address is 18 Ponderosa Dr, Lonoke, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114159688.

Contact Information

Mrs Jennie Breanne Tidwell, OTR/L
821 E Park St,
Carlisle, AR 72024-9024
(870) 552-7110
(870) 552-7115

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jennie Breanne Tidwell
GenderFemale
SpecialityOccupational Therapist
Location821 E Park St, Carlisle, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114159688
  • Provider Enumeration Date: 08/18/2009
  • Last Update Date: 01/11/2013

Medical Identifiers

Medical identifiers for Mrs Jennie Breanne Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114159688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTR2314 (Arkansas)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. Mrs Jennie Breanne 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 AddressPractice Location Address
Mrs Jennie Breanne Tidwell, OTR/L
18 Ponderosa Dr,
Lonoke, AR 72086-3603

Ph: (501) 920-6808		Mrs Jennie Breanne Tidwell, OTR/L
821 E Park St,
Carlisle, AR 72024-9024

Ph: (870) 552-7110

Reviews and Comments


Occupational Therapist in Carlisle, AR

Shala D Neal, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 821 E Park St, Carlisle, AR 72024
Phone: 870-552-7110    Fax: 870-552-7115

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.