Mary Rose Tidoe, APRN - Medicare Nurse Practitioner in Danville, VA

Mary Rose Tidoe, APRN is a medicare enrolled "Nurse Practitioner - Family" in Danville, Virginia. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Addiction Recovery Center Of Virginia and her current practice location is 480 Mount Cross Rd, Danville, Virginia. You can reach out to her office (for appointments etc.) via phone at (833) 510-4357.

Mary Rose Tidoe is licensed to practice in Virginia (license number 0024182807) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073142881.

Contact Information

Mary Rose Tidoe, APRN
480 Mount Cross Rd,
Danville, VA 24540-4000
(833) 510-4357
Not Available

Map and Direction




Provider's Profile

Full NameMary Rose Tidoe
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location480 Mount Cross Rd, Danville, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Rose Tidoe graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1073142881
  • Provider Enumeration Date: 04/03/2020
  • Last Update Date: 02/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0547683237
  • Enrollment ID: I20220811000308

Medical Identifiers

Medical identifiers for Mary Rose Tidoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073142881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024182807 (Virginia)Primary
163W00000XRegistered Nurse 0002134328 (Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Addiction Recovery Center Of Virginia64062772683

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. Mary Rose Tidoe allows following entities to bill medicare on her behalf.
Entity NameAddiction Recovery Center Of Virginia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811407042
PECOS PAC ID: 6406277268
Enrollment ID: O20200603000035

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. Mary Rose Tidoe 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 AddressPractice Location Address
Mary Rose Tidoe, APRN
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600

Ph: () -
Mary Rose Tidoe, APRN
480 Mount Cross Rd,
Danville, VA 24540-4000

Ph: (833) 510-4357

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.