Abigail Tidwell, OTD, OTR in Tupelo, MS - Medicare Occupational Therapist In Private Practice Provider

Abigail Tidwell, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in Tupelo, Mississippi. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Mdrs Spine And Sport Inc and her current practice location is 1211 S Gloster St Ste C, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 432-1523.

Abigail Tidwell is licensed to practice in Mississippi (license number 4289) 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 1023798733.

Contact Information

	Abigail Tidwell, OTD, OTR
	1211 S Gloster St Ste C, Tupelo, MS 38801-6548
	(662) 432-1523
	(662) 432-1528

Map and Direction

Healthcare Provider's Profile

Full Name	Abigail Tidwell
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	3 Years
Location	1211 S Gloster St Ste C, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abigail Tidwell graduated from medical school in 2023

NPI Data:

NPI Number: 1023798733
Provider Enumeration Date: 07/19/2023
Last Update Date: 01/09/2026

Medicare PECOS Information:

PECOS PAC ID: 6507210275
Enrollment ID: I20230928002929

Medical Identifiers

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

Identifier	Type	State	Issuer
1023798733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4289 (Mississippi)	Primary
225X00000X	Occupational Therapist	10356 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mdrs Spine And Sport Inc	3274446687	147

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

Provider Name	Mdrs Spine & Sport Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725

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. Abigail 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
Abigail Tidwell, OTD, OTR 1211 S Gloster St, Tupelo, MS 38801-6546 Ph: (662) 432-1523	Abigail Tidwell, OTD, OTR 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523

Reviews and Comments

Occupational Therapist in Tupelo, MS

Caley O'callaghan Speck, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523
Mallory V Peden, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 Fax: 662-260-3790
Resilience Pelvic Health, Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 218 S Thomas St Ste 209, Tupelo, MS 38801 Phone: 662-260-2960
Erin Olivia Goode, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789
Ms. Debra Pasmore Bradsher, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Clark Blvd, Tupelo, MS 38804 Phone: 662-840-0535
Lydia Marie Thomas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St Ste D, Tupelo, MS 38804 Phone: 601-815-3575

Abigail Tidwell, OTD, OTR - Medicare Occupational Therapist in Tupelo, MS