| Tonya L Tidwell, | |
|
4282 E Rockton Rd, Roscoe, IL 61073-7420 | |
| (779) 696-9000 | |
| Not Available |
| Full Name | Tonya L Tidwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 4282 E Rockton Rd, Roscoe, Illinois |
| 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 |
|---|---|---|---|
| 1356850739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041316348 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209016801 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedishamerican Hospital | 5799698346 | 332 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya L Tidwell, Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Tonya L Tidwell, 4282 E Rockton Rd, Roscoe, IL 61073-7420 Ph: (779) 696-9000 |
Sara Gaddini, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073 Phone: 815-558-9970 | |
Jordan Marie Hendricks, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073 Phone: 779-696-9000 | |
Kristen Huebbe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-3450 | |
Dakota L Felckowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073 Phone: 779-696-9000 Fax: 779-696-8170 | |
Mrs. Melissa Nicole Normoyle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 | |
Jenny Catherine Hennegar, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073 Phone: 779-696-9000 | |
Karen L Radtke, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 |