Jaselyn Harrison Tidmore, OTR/L is a medicare enrolled "Occupational Therapist" provider in Columbiana, Alabama. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Pt Solutions Of Montgomery Llc and her current practice location is
209 W College St, Columbiana, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 210-4980.
Jaselyn Harrison Tidmore is licensed to practice in Alabama (license number 5218) 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 1194451468.
Healthcare Provider's Profile
| Full Name | Jaselyn Harrison Tidmore |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 7 Years |
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| Location | 209 W College St, Columbiana, Alabama |
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| Accepts Medicare Assignments | Yes. She 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:
- Jaselyn Harrison Tidmore graduated from medical school in 2019
NPI Data:
- NPI Number: 1194451468
- Provider Enumeration Date: 07/28/2022
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830575695
- Enrollment ID: I20220930001959
Medical Identifiers
Medical identifiers for Jaselyn Harrison Tidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194451468 | NPI | - | NPPES |
| 5218 | Other | AL | OCCUPATIONAL THERAPY LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 5218 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pt Solutions Of Montgomery Llc | 6305891037 | 8 |
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. Jaselyn Harrison Tidmore allows following entities to bill medicare on her behalf.
| Provider Name | Pt Solutions Of Montgomery Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1073558086
PECOS PAC ID: 6305891037
Enrollment ID: O20050316000120 |
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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. Jaselyn Harrison Tidmore 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 |
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Jaselyn Harrison Tidmore, OTR/L
176 Highway 61,
Columbiana, AL 35051-5258
Ph: (205) 566-2798 | Jaselyn Harrison Tidmore, OTR/L
209 W College St,
Columbiana, AL 35051-9724
Ph: (205) 210-4980 |
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