Dr Nicholas E Tisdale, MD in Vero Beach, FL - Medicare Internal Medicine

Dr Nicholas E Tisdale, MD is a medicare enrolled "Internal Medicine" physician in Vero Beach, Florida. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Back In Action Medical Center Llc and his current practice location is 1715 37th Pl Fl 2, Vero Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 794-2222.

Dr Nicholas E Tisdale is licensed to practice in Florida (license number ME169907) 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 1962023754.

Contact Information

	Dr Nicholas E Tisdale, MD
	1715 37th Pl Fl 2, Vero Beach, FL 32960-4508
	(772) 794-2222
	(772) 794-0045

Map and Direction

Physician's Profile

Full Name	Dr Nicholas E Tisdale
Gender	Male
Speciality	Internal Medicine
Experience	6 Years
Location	1715 37th Pl Fl 2, Vero Beach, Florida
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:

Dr Nicholas E Tisdale graduated from medical school in 2020

NPI Data:

NPI Number: 1962023754
Provider Enumeration Date: 05/03/2020
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 7012330194
Enrollment ID: I20241230001220

Medical Identifiers

Medical identifiers for Dr Nicholas E Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962023754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	22993 (Nevada)	Secondary
207R00000X	Internal Medicine	35.154509 (Ohio)	Secondary
207R00000X	Internal Medicine	4301507158 (Michigan)	Secondary
207R00000X	Internal Medicine	ME169907 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic Martin North Hospital	Stuart, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Back In Action Medical Center Llc	7810272473	9

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 Nicholas E Tisdale allows following entities to bill medicare on his behalf.

Entity Name	Back In Action Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093183733 PECOS PAC ID: 7810272473 Enrollment ID: O20170321002639

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 Nicholas E 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
Dr Nicholas E Tisdale, MD 1715 37th Pl Fl 2, Vero Beach, FL 32960-4508 Ph: (772) 794-2222	Dr Nicholas E Tisdale, MD 1715 37th Pl Fl 2, Vero Beach, FL 32960-4508 Ph: (772) 794-2222

Reviews and Comments

Internal Medicine Doctors in Vero Beach, FL

Dr. Erol R Atamer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1265 36th St, Vero Beach, FL 32960 Phone: 772-567-6340 Fax: 772-567-3564
Joseph John Zerega, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 11th Cir, Suite 101, Vero Beach, FL 32960 Phone: 772-299-3511 Fax: 772-299-3517
Dennis C King, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4165 9th St Sw, Suite 106, Vero Beach, FL 32968 Phone: 772-569-7706
Dr. Leon Hendley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 36th Street, Suite C, Vero Beach, FL 32960 Phone: 772-770-4911 Fax: 772-569-4583
Dr. Bradley Adam Kast, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln, Suite 201, Vero Beach, FL 32960 Phone: 772-794-3364
Grettel Rodriguez Garcia, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Royal Palm Pt, Vero Beach, FL 32960 Phone: 772-237-3847 Fax: 772-237-3042
Stephen G Ritter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 37th Pl Ste B, Vero Beach, FL 32960 Phone: 772-567-6140 Fax: 772-567-6170

Dr Nicholas E Tisdale, MD - Medicare Internal Medicine in Vero Beach, FL