| Kristie Tidrick, RN | |
|
1 Walter Scholer Dr, Lafayette, IN 47909-6303 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Kristie Tidrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1 Walter Scholer Dr, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427521814 | NPI | - | NPPES |
| PENDING | Other | IN | ANTHEM PIN NUMBER |
| PENDING | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | PENDING (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 28210200A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnett Clinic, Llc | 0749184380 | 412 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Tidrick, RN 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Kristie Tidrick, RN 1 Walter Scholer Dr, Lafayette, IN 47909-6303 Ph: (765) 448-8000 |
Dani'el N Mckillip, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Ashley N Schmitt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4423 | |
Shayna Foster, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Mrs. Amy Renee Timmons, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4600 | |
Alexa Sharon Brenneman, CPNP-PC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4050 Britt Farm Dr, Lafayette, IN 47905 Phone: 765-325-7012 | |
Nancy L Harner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905 Phone: 765-447-4165 Fax: 765-447-6978 | |
Amy Elizabeth Manahan, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 |