Mrs Kayla Kizziah Tidwell, CRNP - Medicare Nurse Practitioner in Alexander City, AL

Mrs Kayla Kizziah Tidwell, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Alexander City, Alabama. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Russell Hospital Corporation and her current practice location is 3316 Highway 280, Alexander City, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 329-7100.

Mrs Kayla Kizziah Tidwell is licensed to practice in Alabama (license number 1-145314) 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 1174020929.

Contact Information

Mrs Kayla Kizziah Tidwell, CRNP
3316 Highway 280,
Alexander City, AL 35010-3369
(256) 329-7100
Not Available



Provider's Profile

Full NameMrs Kayla Kizziah Tidwell
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location3316 Highway 280, Alexander City, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kayla Kizziah Tidwell graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1174020929
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 12/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406287762
  • Enrollment ID: I20200520003581

Medical Identifiers

Medical identifiers for Mrs Kayla Kizziah Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174020929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-145314 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Russell Medical CenterAlexander city, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Russell Hospital Corporation640675443152

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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. Mrs Kayla Kizziah Tidwell allows following entities to bill medicare on her behalf.
Entity NameThe Russell Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811913460
PECOS PAC ID: 6406754431
Enrollment ID: O20040109000579

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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. Mrs Kayla Kizziah 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 AddressPractice Location Address
Mrs Kayla Kizziah Tidwell, CRNP
1034 S Tallassee St,
Dadeville, AL 36853-1844

Ph: (256) 825-9900
Mrs Kayla Kizziah Tidwell, CRNP
3316 Highway 280,
Alexander City, AL 35010-3369

Ph: (256) 329-7100

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Nurse Practitioner Nurses in Alexander City, AL

Sheena C Hunter, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44 Aliant Pkwy, Alexander City, AL 35010
Phone: 256-234-4131    Fax: 256-234-9979
Mrs. Chloe L. Elrod, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3368 Highway 280 Ste 130, Alexander City, AL 35010
Phone: 256-234-2644    
Maria Luisa Coxey, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3316 Highway 280, Alexander City, AL 35010
Phone: 256-329-7100    
Amanda Hardy, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 Airport Dr, Alexander City, AL 35010
Phone: 256-212-9300    
Emily Shelby, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2508 Highway 280, Alexander City, AL 35010
Phone: 256-414-3013    
Jason Paul Jones, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3316 Highway 280, Alexander City, AL 35010
Phone: 256-329-7100    

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