Abigail Tidwell, OTD, OTR in El Cajon, CA - Medicare Occupational Therapist Provider

Abigail Tidwell, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in El Cajon, California. Her current practice location is 1625 E Main St Ste 104, El Cajon, California. You can reach out to her office (for appointments etc.) via phone at (619) 873-2160.

Abigail Tidwell is licensed to practice in California (license number 10356) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023798733.

Contact Information

	Abigail Tidwell, OTD, OTR
	1625 E Main St Ste 104, El Cajon, CA 92021-5223
	(619) 873-2160
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Abigail Tidwell
Gender	Female
Speciality	Occupational Therapist
Location	1625 E Main St Ste 104, El Cajon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023798733
Provider Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6507210275
Enrollment ID: I20230928002929

Medical Identifiers

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

Identifier	Type	State	Issuer
1023798733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	10356 (California)	Primary

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. Abigail Tidwell allows following entities to bill medicare on her behalf.

Provider Name	Mdrs Spine & Sport Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725

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. Abigail 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
Abigail Tidwell, OTD, OTR 4826 Cypress St, La Mesa, CA 91942-9362 Ph: () -	Abigail Tidwell, OTD, OTR 1625 E Main St Ste 104, El Cajon, CA 92021-5223 Ph: (619) 873-2160

Reviews and Comments

Occupational Therapist in El Cajon, CA

Allison Calcagno, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 E Chase Ave Ste 204, El Cajon, CA 92020 Phone: 949-916-1654
Anita Debra Kramer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2163 Shire Dr, El Cajon, CA 92019 Phone: 619-820-9969
Thomas Revell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 E Chase Ave Ste 204, El Cajon, CA 92020 Phone: 619-647-6157
Ms. Rachelle Gavino, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1609 East Madison Ave, El Cajon Medical Therapy Unit, El Cajon, CA 92019 Phone: 619-588-3169
Tamara Fitzgerald, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 225 W Madison Ave # 3, El Cajon, CA 92020 Phone: 619-667-6031
Mrs. Tamara Jean Hahn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 E Chase Ave, El Cajon, CA 92020 Phone: 619-647-6157

Abigail Tidwell, OTD, OTR - Medicare Occupational Therapist in El Cajon, CA