Tyler Tidwell, DPM in Newburgh, IN - Medicare Podiatry Provider

Tyler Tidwell, DPM is a medicare enrolled "Podiatrist" provider in Newburgh, Indiana. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Deaconess Clinic Inc, Deaconess Clinic Inc and his current practice location is 4233 Gateway Blvd, Newburgh, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 858-5786.

Tyler Tidwell is licensed to practice in Indiana (license number 07001297A) 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 1629462635.

Contact Information

	Tyler Tidwell, DPM
	4233 Gateway Blvd, Newburgh, IN 47630-8900
	(812) 858-5786
	(812) 490-4512

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Tidwell
Gender	Male
Speciality	Podiatry
Experience	9 Years
Location	4233 Gateway Blvd, Newburgh, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler Tidwell graduated from medical school in 2016

NPI Data:

NPI Number: 1629462635
Provider Enumeration Date: 03/27/2015
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 2264766591
Enrollment ID: I20190620001334

Medical Identifiers

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

Identifier	Type	State	Issuer
1629462635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	41000347A (Indiana)	Secondary
213E00000X	Podiatrist	244018 (Kentucky)	Secondary
213E00000X	Podiatrist	07001297A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Hospital Inc	Evansville, IN	Hospital
Methodist Hospital	Henderson, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	353
Deaconess Clinic Inc	3375610116	353

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. Tyler Tidwell allows following entities to bill medicare on his behalf.

Provider Name	Deaconess Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Tyler 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
Tyler Tidwell, DPM Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815	Tyler Tidwell, DPM 4233 Gateway Blvd, Newburgh, IN 47630-8900 Ph: (812) 858-5786

Reviews and Comments

Podiatrist in Newburgh, IN

Anson Ka-cheng Chu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10455 Orthopaedic Dr, Newburgh, IN 47630 Phone: 812-424-9291 Fax: 812-421-2722
Darin Richard Serletic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7580 Peachwood Dr, Newburgh, IN 47630 Phone: 812-858-3800 Fax: 812-634-2778
Lorin Mickelsen Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-5786 Fax: 812-490-4512
Brandt L Dodson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-5786 Fax: 812-490-4512
Charles Anthony Sisovsky, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10455 Orthopaedic Dr, Newburgh, IN 47630 Phone: 812-424-9291 Fax: 812-421-2722

Tyler Tidwell, DPM - Medicare Podiatrist in Newburgh, IN