John R Tisdale, MD in Little Rock, AR - Medicare Internal Medicine

John R Tisdale, MD is a medicare enrolled "Internal Medicine" physician in Little Rock, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility and his current practice location is 1811 Rahling Rd Ste 120, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 214-2360.

John R Tisdale is licensed to practice in Arkansas (license number E-18802) 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 1649414525.

Contact Information

	John R Tisdale, MD
	1811 Rahling Rd Ste 120, Little Rock, AR 72223-4678
	(501) 214-2360
	(501) 214-2356

Map and Direction

Physician's Profile

Full Name	John R Tisdale
Gender	Male
Speciality	Internal Medicine
Experience	16 Years
Location	1811 Rahling Rd Ste 120, Little Rock, Arkansas
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:

John R Tisdale attended and graduated from University Of Arkansas College Of Medicine in 2009

NPI Data:

NPI Number: 1649414525
Provider Enumeration Date: 04/23/2009
Last Update Date: 12/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5496983207
Enrollment ID: I20140123001865

Medical Identifiers

Medical identifiers for John R Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649414525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-18802 (Arkansas)	Secondary
208000000X	Pediatrics	35.121001 (Ohio)	Secondary
207R00000X	Internal Medicine	E-18802 (Arkansas)	Primary
207R00000X	Internal Medicine	35.121001 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chinle Comprehensive Health Care Facility	Chinle, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility	9436062585	146

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. John R Tisdale allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210

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 R 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
John R Tisdale, MD 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000	John R Tisdale, MD 1811 Rahling Rd Ste 120, Little Rock, AR 72223-4678 Ph: (501) 214-2360

Reviews and Comments

Internal Medicine Doctors in Little Rock, AR

Lonnie E Harrison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889
Muthu Veera Kumaran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932
Tanvi Harishbhai Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906
Gaurav Dhar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Anthony R Giglia Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795
Brian Bean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129
Joseph Wayne Forney Sr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017

John R Tisdale, MD - Medicare Internal Medicine in Little Rock, AR