Dr Hollis Tidmore, MD - Medicare Surgery in Houston, MO

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Dr Hollis Tidmore, MD is a medicare enrolled "Surgery" physician in Houston, Missouri. His current practice location is 1422 S Sam Houston Blvd, Houston, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 967-1252.

Dr Hollis Tidmore is licensed to practice in Missouri (license number 2009005897) 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 1962473975.

Contact Information

Dr Hollis Tidmore, MD
1422 S Sam Houston Blvd,
Houston, MO 65483-2130
(417) 967-1252
(417) 967-0417

Map and Direction




Physician's Profile

Full NameDr Hollis Tidmore
GenderMale
SpecialitySurgery
Location1422 S Sam Houston Blvd, Houston, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962473975
  • Provider Enumeration Date: 01/28/2006
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971536343
  • Enrollment ID: I20090511000085

Medical Identifiers

Medical identifiers for Dr Hollis Tidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962473975NPI-NPPES
207050501MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 2009005897 (Missouri)Secondary
208600000XSurgery 2009005897 (Missouri)Primary
2086S0127XSurgery - Trauma Surgery 2009005897 (Missouri)Secondary

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 Hollis Tidmore allows following entities to bill medicare on his behalf.
Entity NameTexas County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710926928
PECOS PAC ID: 9436041696
Enrollment ID: O20070404000060

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 Hollis Tidmore 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 Hollis Tidmore, MD
1422 S Sam Houston Blvd,
Houston, MO 65483-2130

Ph: (417) 967-1252		Dr Hollis Tidmore, MD
1422 S Sam Houston Blvd,
Houston, MO 65483-2130

Ph: (417) 967-1252

Reviews and Comments


Surgery Doctors in Houston, MO

Dr. Thomas R. Stubbs, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1337 S Sam Houston Blvd, Suite 300, Houston, MO 65483
Phone: 417-967-5435    Fax: 417-967-5503
Dr. Sherry L. Phippen-gesualdi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1333 S Sam Houston Blvd Ste C, Houston, MO 65483
Phone: 417-967-1252    Fax: 417-967-0417
Jason Matthew Loden, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1333 S Sam Houston Blvd Ste C, Houston, MO 65483
Phone: 417-967-1252    Fax: 417-967-0417

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.