Dr Jerry Neil Tidwell, OD in Dickson, TN - Medicare Optometry Provider

Dr Jerry Neil Tidwell, OD is a medicare enrolled "Optometrist" provider in Dickson, Tennessee. He went to Southern College Of Optometry and graduated in 1981 and has 43 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Drs. Tidwell, Faulks, And Allen - Optometry, Pllc and his current practice location is 610 Henslee Dr, Dickson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 446-2020.

Dr Jerry Neil Tidwell is licensed to practice in Tennessee (license number OD0000000818) 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 1013986603.

Contact Information

	Dr Jerry Neil Tidwell, OD
	610 Henslee Dr, Dickson, TN 37055-1211
	(615) 446-2020
	(615) 441-2020

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerry Neil Tidwell
Gender	Male
Speciality	Optometry
Experience	43 Years
Location	610 Henslee Dr, Dickson, 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:

Dr Jerry Neil Tidwell attended and graduated from Southern College Of Optometry in 1981

NPI Data:

NPI Number: 1013986603
Provider Enumeration Date: 03/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1153438643
Enrollment ID: I20111118000454

Medical Identifiers

Medical identifiers for Dr Jerry Neil Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013986603	NPI	-	NPPES
3113993	Other	TN	BLUE CROSS BLUE SHIELD TN
3595690	Medicaid	TN
1250080001	Other	TN	MEDICARE DMERC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD0000000818 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Drs. Tidwell, Faulks, And Allen - Optometry, Pllc	5597886069	3

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. Dr Jerry Neil Tidwell allows following entities to bill medicare on his behalf.

Provider Name	Drs. Tidwell, Faulks, And Allen - Optometry, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194920967 PECOS PAC ID: 5597886069 Enrollment ID: O20111118000164

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. Dr Jerry Neil 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
Dr Jerry Neil Tidwell, OD 610 Henslee Dr, Dickson, TN 37055-1211 Ph: (615) 446-2020	Dr Jerry Neil Tidwell, OD 610 Henslee Dr, Dickson, TN 37055-1211 Ph: (615) 446-2020

Reviews and Comments

Optometrist in Dickson, TN

Dickson Optical Pc Optometrist Medicare: Medicare Enrolled Practice Location: 110 Mathis Dr, Suite 108, Dickson, TN 37055 Phone: 615-441-9996 Fax: 615-441-3135
Janna Suzette Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Mathis Drive, Suite 108, Dickson, TN 37055 Phone: 615-446-8089 Fax: 615-441-3135
Drs. Tidwell, Faulks, And Allen - Optometry, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 610 Henslee Dr, Dickson, TN 37055 Phone: 615-446-2020 Fax: 615-441-2020
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 434 Tn-46, Dickson, TN 37055 Phone: 615-375-5711
Dr. Belinda Patrick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Mathis Dr Ste 108, Dickson, TN 37055 Phone: 615-446-8089
Dr. Lori A. Weiss, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Mathis Dr, Dickson, TN 37055 Phone: 615-446-8089 Fax: 615-441-3135

Dr Jerry Neil Tidwell, OD - Medicare Optometrist in Dickson, TN