Bernard Alvan Tisdale, MD in Richmond, VA

Bernard Alvan Tisdale, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Richmond, Virginia. His current practice location is 1109 W Marshall St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 257-7337.

Bernard Alvan Tisdale is licensed to practice in Virginia (license number 0101040236) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124009600.

Contact Information

	Bernard Alvan Tisdale, MD
	1109 W Marshall St, Richmond, VA 23220-3835
	(804) 257-7337
	(804) 359-6898

Map and Direction

Physician's Profile

Full Name	Bernard Alvan Tisdale
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	1109 W Marshall St, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124009600
Provider Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7810901048
Enrollment ID: I20210629003099

Medical Identifiers

Medical identifiers for Bernard Alvan Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124009600	NPI	-	NPPES
5866740	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	0101040236 (Virginia)	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. Bernard Alvan Tisdale allows following entities to bill medicare on his behalf.

Entity Name	Alliant Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619232501 PECOS PAC ID: 9436305273 Enrollment ID: O20120809000329

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. Bernard Alvan 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 Address	Practice Location Address
Bernard Alvan Tisdale, MD 1109 W Marshall St, Richmond, VA 23220-3835 Ph: (804) 257-7337	Bernard Alvan Tisdale, MD 1109 W Marshall St, Richmond, VA 23220-3835 Ph: (804) 257-7337

Reviews and Comments

Radiology Doctors in Richmond, VA

Dr. Christine H Llewellyn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall Street, Radiology, Richmond, VA 23298 Phone: 804-828-8262 Fax: 804-828-6129
Kathryn S. Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Richmond, VA 23298 Phone: 804-628-3580 Fax: 804-628-3593
Dr. Richard Westwood Fuller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, Richmond, VA 23235 Phone: 804-272-8806
Michelle S. Kraut, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7110 Forest Ave, Suite 100, Richmond, VA 23226 Phone: 804-673-4200 Fax: 804-673-6513
Dr. Matthew L Cohen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, Richmond, VA 23235 Phone: 804-272-8806
Dr. Roger Headly Tutton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1839 Monument Ave, Richmond, VA 23220 Phone: 804-355-7788
Ryan D Clayton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Radiology, Richmond, VA 23298 Phone: 804-628-6831 Fax: 804-628-1132

Bernard Alvan Tisdale, MD - Medicare Radiology in Richmond, VA