| James Elliott Tidwell Iii, MD | |
|
2211 Mayfair Dr Ste 305, Owensboro, KY 42301-4572 | |
| (270) 688-3700 | |
| (270) 688-3709 |
| Full Name | James Elliott Tidwell Iii |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 20 Years |
| Location | 2211 Mayfair Dr Ste 305, Owensboro, Kentucky |
| 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 |
|---|---|---|---|
| 1942427380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 47992 (Kentucky) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 47992 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| James Elliott Tidwell Iii, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | James Elliott Tidwell Iii, MD 2211 Mayfair Dr Ste 305, Owensboro, KY 42301-4572 Ph: (270) 688-3700 |
Dr. Suzanne Marie Vass Rashidian, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3821 Vincent Station Dr, Owensboro, KY 42303 Phone: 270-478-5334 Fax: 270-216-6920 | |
Dr. Christopher C Glaser, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 | |
Dr. Thomas Christopher Nebel, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 | |
Kristofer Edward Charles Nava, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Mayfair Dr, Owensboro, KY 42301 Phone: 270-688-1500 Fax: 270-688-1501 | |
Dr. Jeffrey S Danetz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 Fax: 270-687-4322 | |
Mr. Philip Anthony Decker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 | |
Dr. Roger Lea Humphrey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 |