John Scott Tidball, MD in California, MD

John Scott Tidball, MD is a Family Medicine physician based in California, Maryland. John Scott Tidball is licensed to practice in Maryland (license number D52196) and his current practice location is 23415 Three Notch Rd, Suite 2054 Wildewood Center, California, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 737-7833.

NPI number for John Scott Tidball is 1760580476 and his current mailing address is 23415 Three Notch Rd, Suite 2054, California, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760580476.

Contact Information

	John Scott Tidball, MD
	23415 Three Notch Rd, Suite 2054 Wildewood Center, California, MD 20619-4017
	(301) 737-7833
	(301) 737-4865

Map and Direction

Physician's Profile

Full Name	John Scott Tidball
Gender	Male
Speciality	Family Medicine
Location	23415 Three Notch Rd, California, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1760580476
Provider Enumeration Date: 09/20/2006
Last Update Date: 04/18/2011

Medical Identifiers

Medical identifiers for John Scott Tidball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760580476	NPI	-	NPPES
1389505000	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D52196 (Maryland)	Primary

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. John Scott Tidball is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John Scott Tidball, MD 23415 Three Notch Rd, Suite 2054, California, MD 20619-4017 Ph: (301) 737-7833	John Scott Tidball, MD 23415 Three Notch Rd, Suite 2054 Wildewood Center, California, MD 20619-4017 Ph: (301) 737-7833

Reviews and Comments

Family Medicine Doctors in California, MD

Naomi Ruth Constantine, PMHNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-737-0500 Fax: 301-737-3351
Archana Gupta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7900 Fax: 301-373-6900
Mrs. Christine Garrity, CRNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7900

John Scott Tidball, MD - Family Medicine in California, MD