Angela Mary Tidwell, OT in Mooresville, NC - Medicare Occupational Therapist Provider

Angela Mary Tidwell, OT is a medicare enrolled "Occupational Therapist - Hand" provider in Mooresville, North Carolina. Her current practice location is 136 Corporate Park Dr, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-2796.

Angela Mary Tidwell is licensed to practice in North Carolina (license number 8534) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063901668.

Contact Information

	Angela Mary Tidwell, OT
	136 Corporate Park Dr, Mooresville, NC 28117-6959
	(704) 360-2796
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Mary Tidwell
Gender	Female
Speciality	Occupational Therapist - Hand
Location	136 Corporate Park Dr, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063901668
Provider Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018

Medicare PECOS Information:

PECOS PAC ID: 9032466727
Enrollment ID: I20180726001844

Medical Identifiers

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

Identifier	Type	State	Issuer
1063901668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	8534 (North Carolina)	Primary

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. Angela Mary Tidwell allows following entities to bill medicare on her behalf.

Provider Name	Saylor Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871860767 PECOS PAC ID: 4486814381 Enrollment ID: O20120330000390

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. Angela Mary 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
Angela Mary Tidwell, OT 116 Stamford Ct, Mooresville, NC 28117-7042 Ph: (407) 766-8747	Angela Mary Tidwell, OT 136 Corporate Park Dr, Mooresville, NC 28117-6959 Ph: (704) 360-2796

Reviews and Comments

Occupational Therapist in Mooresville, NC

Leigh Anne Hornor, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825
Mrs. Ashley Christina Grant, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825
Bethany Makayla Lady Wines, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825
Mrs. Courtney King Fesperman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Court, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825
Lymphatic Health Center, Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 517 Alcove Rd, Suite 101, Mooresville, NC 28117 Phone: 704-664-7303 Fax: 855-235-4944
Mary E Rutledge, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Glenwood Dr, Mooresville, NC 28115 Phone: 704-664-7494

Angela Mary Tidwell, OT - Medicare Occupational Therapist in Mooresville, NC