Mackenzie R Tiderington, PA-C - Medicare Physician Assistant in Dayton, OH

Mackenzie R Tiderington, PA-C is a medicare enrolled "Physician Assistant" in Dayton, Ohio. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Orthopedic Associates Of Sw Ohio Inc and her current practice location is 4160 Little York Rd Ste 10, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 415-9100.

Mackenzie R Tiderington is licensed to practice in Ohio (license number 50.006159RX) 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 1114577103.

Contact Information

Mackenzie R Tiderington, PA-C
4160 Little York Rd Ste 10,
Dayton, OH 45414-5803
(937) 415-9100
(937) 415-9191



Provider's Profile

Full NameMackenzie R Tiderington
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location4160 Little York Rd Ste 10, Dayton, Ohio
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:
  • Mackenzie R Tiderington graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1114577103
  • Provider Enumeration Date: 09/12/2019
  • Last Update Date: 12/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698108090
  • Enrollment ID: I20191125001735

Medical Identifiers

Medical identifiers for Mackenzie R Tiderington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114577103NPI-NPPES
50.006159RXOtherOHOH MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.006159RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wayne HealthcareGreenville, OHHospital
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic Associates Of Sw Ohio Inc963825887449

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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. Mackenzie R Tiderington 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
Mackenzie R Tiderington, PA-C
6551 Centerville Business Pkwy Ste 120,
Centerville, OH 45459-2696

Ph: (937) 415-9100
Mackenzie R Tiderington, PA-C
4160 Little York Rd Ste 10,
Dayton, OH 45414-5803

Ph: (937) 415-9100

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Physician Assistant Nurses in Dayton, OH

Nicole Lynne-bendt Scott,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3600    Fax: 937-641-5802
Cody Mcmillan,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3000    
Annemarie Rose Underwood, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Dayton, OH 45429
Phone: 937-395-8166    
Mr. Douglas W Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Elizabeth Pl, 4th Floor, Dayton, OH 45408
Phone: 937-221-7001    Fax: 937-224-5307
Kathleen A. Rowell, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    
Jessica Lynn Galli Robertson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409
Phone: 937-208-4200    Fax: 937-208-4205
Caroline Mccomb, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4160 Little York Rd Ste 10, Dayton, OH 45414
Phone: 937-415-9100    

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