Emily Tidwell, NP in Portland, TN - Medicare Nurse Practitioner

Emily Tidwell, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Portland, Tennessee. Her current practice location is 421 N Broadway, Portland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 323-1020.

Emily Tidwell is licensed to practice in Tennessee (license number 10971) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588691117.

Contact Information

	Emily Tidwell, NP
	421 N Broadway, Portland, TN 37148-1750
	(615) 323-1020
	(615) 323-1021

Map and Direction

Provider's Profile

Full Name	Emily Tidwell
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	421 N Broadway, Portland, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588691117
Provider Enumeration Date: 06/27/2006
Last Update Date: 08/03/2012

Medicare PECOS Information:

PECOS PAC ID: 7214980333
Enrollment ID: I20050301000169

Medical Identifiers

Medical identifiers for Emily Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588691117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	10971 (Tennessee)	Primary

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. Emily Tidwell allows following entities to bill medicare on her behalf.

Entity Name	Tidwell Family Ventures Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518106020 PECOS PAC ID: 2163570474 Enrollment ID: O20090424000314

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. Emily Tidwell 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
Emily Tidwell, NP 421 N Broadway, Po Box 507, Portland, TN 37148-1750 Ph: (615) 323-1020	Emily Tidwell, NP 421 N Broadway, Portland, TN 37148-1750 Ph: (615) 323-1020

Reviews and Comments

Nurse Practitioner Nurses in Portland, TN

Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792
Randy Tidwell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-323-1020 Fax: 615-323-1021
Lisa Nazarenus, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway, Portland, TN 37148 Phone: 615-325-6755 Fax: 615-325-6936
Laura Kline, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-792-2280
Ms. Paula Claire Havelin, FNP, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263
Sherelen Hodges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 Fax: 615-802-1088

Emily Tidwell, NP - Medicare Nurse Practitioner in Portland, TN