Ralph J Tidalgo, MD in Southfield, MI - Medicare Internal Medicine

Ralph J Tidalgo, MD is a medicare enrolled "Internal Medicine" physician in Southfield, Michigan. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vitality Visiting Physicians Pllc, Laz Medical Group Pc and his current practice location is 26645 W 12 Mile Rd, Ste 109, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 797-5293.

Ralph J Tidalgo is licensed to practice in Michigan (license number 4301045963) 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 1427168525.

Contact Information

	Ralph J Tidalgo, MD
	26645 W 12 Mile Rd, Ste 109, Southfield, MI 48034-7811
	(248) 797-5293
	(248) 327-7394

Map and Direction

Physician's Profile

Full Name	Ralph J Tidalgo
Gender	Male
Speciality	Internal Medicine
Experience	50 Years
Location	26645 W 12 Mile Rd, Southfield, Michigan
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:

Ralph J Tidalgo graduated from medical school in 1974

NPI Data:

NPI Number: 1427168525
Provider Enumeration Date: 08/30/2006
Last Update Date: 01/01/2017

Medicare PECOS Information:

PECOS PAC ID: 3274513478
Enrollment ID: I20040722000488

Medical Identifiers

Medical identifiers for Ralph J Tidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427168525	NPI	-	NPPES
4284823	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301045963 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
A Plus Home Health Care	Lathrup village, MI	Home health agency
Safe Hands Home Health Care	Southfield, MI	Home health agency
Residential Home Health	Troy, MI	Home health agency
Ayuda Home Health Care	Dearborn, MI	Home health agency
Infinity Home Health Services	Southfield, MI	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vitality Visiting Physicians Pllc	2961870969	5
Laz Medical Group Pc	7810887288	2

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. Ralph J Tidalgo allows following entities to bill medicare on his behalf.

Entity Name	Laz Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053310128 PECOS PAC ID: 7810887288 Enrollment ID: O20040318000870

Entity Name	Vitality Visiting Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073230876 PECOS PAC ID: 2961870969 Enrollment ID: O20221123000751

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. Ralph J Tidalgo 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
Ralph J Tidalgo, MD 4889 Old Post Ct, Bloomfield Hills, MI 48301-3554 Ph: (248) 320-6409	Ralph J Tidalgo, MD 26645 W 12 Mile Rd, Ste 109, Southfield, MI 48034-7811 Ph: (248) 797-5293

Reviews and Comments

Internal Medicine Doctors in Southfield, MI

Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483
Dr. Herman Kado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492

Ralph J Tidalgo, MD - Medicare Internal Medicine in Southfield, MI