| William Tidwell, MD | |
|
1800 12th St, Meridian, MS 39301-4158 | |
| (601) 703-9544 | |
| (601) 703-9295 |
| Full Name | William Tidwell |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 23 Years |
| Location | 1800 12th St, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1801072632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 19358 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| Tippah County Hospital | Ripley, MS | Hospital |
| Hardin Medical Center | Savannah, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Imaging Associates, Pllc | 2264660026 | 4 |
| Tippah County Hospital | 5193746709 | 21 |
| Entity Name | Tippah County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891720009 PECOS PAC ID: 5193746709 Enrollment ID: O20051212000167 |
| Entity Name | Magnolia Imaging Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386073294 PECOS PAC ID: 2264660026 Enrollment ID: O20140124001256 |
| Mailing Address | Practice Location Address |
|---|---|
| William Tidwell, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-9544 | William Tidwell, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-9544 |
Dr. Ralph E. Williams, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Rush Medical Group Inc., Meridian, MS 39301 Phone: 601-703-9544 Fax: 601-703-9936 | |
Dr. Mary Ann Cowart, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 | |
Dr. Charles Adrian Ray Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6701 | |
Sandra H. Pupa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1730a 14th St, Meridian, MS 39301 Phone: 601-703-4395 Fax: 601-703-4394 | |
Dr. Michael Stacy Thaggard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 | |
Dr. Amy Ball Coleman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-485-1015 Fax: 601-693-9314 | |
Dr. William D. Armstrong, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 |