Dr Ronald Coury Tisdale, MD - Medicare Counselor in Selma, AL

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Dr Ronald Coury Tisdale, MD is a medicare enrolled "Family Medicine" provider in Selma, Alabama. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Paragon Contracting Services Llc, Ies Alabama Pllc and his current practice location is 1023 Medical Center Pkwy, Selma, Alabama. You can reach out to his office (for appointments etc.) via phone at (650) 387-2272.

Dr Ronald Coury Tisdale is licensed to practice in Alabama (license number MD.41401) 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 1790203461.

Contact Information

Dr Ronald Coury Tisdale, MD
1023 Medical Center Pkwy,
Selma, AL 36701-6750
(650) 387-2272
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Ronald Coury Tisdale
GenderMale
SpecialityFamily Practice
Experience7 Years
Location1023 Medical Center Pkwy, Selma, Alabama
Accepts Medicare AssignmentsYes. 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 Ronald Coury Tisdale attended and graduated from Icahn School Of Medicine At Mount Sinai in 2017
  NPI Data:
  • NPI Number: 1790203461
  • Provider Enumeration Date: 09/01/2017
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901138445
  • Enrollment ID: I20210219000344

Medical Identifiers

Medical identifiers for Dr Ronald Coury Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790203461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
207P00000XEmergency Medicine MD.41401 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine MD.41401 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vaughan Regional Medical Center Parkway CampusSelma, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Contracting Services Llc3971417825264
Ies Alabama Pllc539510518324

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 Ronald Coury Tisdale allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama At Birmingham
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184738478
PECOS PAC ID: 3779487970
Enrollment ID: O20031120000323
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756
Entity NameEmergency Services Of Montgomery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528310323
PECOS PAC ID: 6608028204
Enrollment ID: O20121205000519
Entity NameLakeland Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851780951
PECOS PAC ID: 0446578298
Enrollment ID: O20150408000559
Entity NameIes Alabama Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053027276
PECOS PAC ID: 5395105183
Enrollment ID: O20230712000361

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 Ronald Coury Tisdale 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 AddressPractice Location Address
Dr Ronald Coury Tisdale, MD
625 19th St S,
Birmingham, AL 35233-1900

Ph: (650) 387-2272		Dr Ronald Coury Tisdale, MD
1023 Medical Center Pkwy,
Selma, AL 36701-6750

Ph: (650) 387-2272

Reviews and Comments


Family Medicine in Selma, AL


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.