Steven Tidwell, is a medicare enrolled "Physician Assistant" in Pleasant View, Tennessee. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Urgent Care Enterprise Llc and his current practice location is
2536 Highway 49 E Ste 110, Pleasant View, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 746-1600.
Steven Tidwell is licensed to practice in Tennessee (license number 4042) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912492554.
Provider's Profile
| Full Name | Steven Tidwell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 2536 Highway 49 E Ste 110, Pleasant View, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Steven Tidwell graduated from nursing school in 2018
NPI Data:
- NPI Number: 1912492554
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638417256
- Enrollment ID: I20200217003439
Medical Identifiers
Medical identifiers for Steven Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912492554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 4042 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Care Enterprise Llc | 5496998155 | 62 |
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. Steven 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 |
|---|
Steven Tidwell,
357 Rye Dr,
Clarksville, TN 37043-6383
Ph: (615) 727-2764 | Steven Tidwell,
2536 Highway 49 E Ste 110,
Pleasant View, TN 37146-7160
Ph: (615) 746-1600 |
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