| Steven M Tidwell, MD | |
|
5155 Corporate Way Ste A, Jupiter, FL 33458-4359 | |
| (561) 624-0123 | |
| (561) 624-1453 |
| Full Name | Steven M Tidwell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 5155 Corporate Way Ste A, Jupiter, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538149216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME 62477 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Centers Of America, Llp | 0547174120 | 86 |
| Elite Imaging Llc | 2466496880 | 109 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Sms Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346244100 PECOS PAC ID: 0143207530 Enrollment ID: O20040714000085 |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
| Entity Name | Diagnostic Centers Of America, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730125261 PECOS PAC ID: 0547174120 Enrollment ID: O20080223000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M Tidwell, MD 52 Saint Thomas Dr, Palm Beach Gardens, FL 33418-4598 Ph: (561) 625-1626 | Steven M Tidwell, MD 5155 Corporate Way Ste A, Jupiter, FL 33458-4359 Ph: (561) 624-0123 |
Sandra Ramos Schneider, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477 Phone: 404-274-9897 | |
Sandra L Mondro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Scott Andrew Edwards, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5529 Pennock Point Rd, Jupiter, FL 33458 Phone: 561-398-7048 | |
Dr. Paul Cofnas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-5007 | |
David M Mullin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-747-2234 | |
Dr. Kyle R Gormezano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 Peacock Ln N, Jupiter, FL 33458 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Keith L Mullenger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 875 Military Trl, Jupiter, FL 33458 Phone: 561-748-9828 Fax: 561-630-4543 |