| Dr Robert David Tidwell, DO | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-2273 | |
| Not Available |
| Full Name | Dr Robert David Tidwell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073042297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 009108 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | DO3846 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
| Northwest Medical Center | Tucson, AZ | Hospital |
| Oro Valley Hospital | Oro valley, AZ | Hospital |
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Southwest Pc | 2264538529 | 75 |
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Progressive Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331 |
| Entity Name | Emergency Physicians Southwest Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert David Tidwell, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | Dr Robert David Tidwell, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 |
Edward Kempton, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Brannon L Inman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Brent Hunter, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Stephen M Galvin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 Phone: 702-653-2344 | |
Dr. Mark Thomas Bernardi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3445 | |
Timothy D Hanaway, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2344 |