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

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



Healthcare Provider's Profile

Full NameAngela Mary Tidwell
GenderFemale
SpecialityOccupational Therapist - Hand
Location136 Corporate Park Dr, Mooresville, North Carolina
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1063901668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XH1200XOccupational 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 NameSaylor Physical Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871860767
PECOS PAC ID: 4486814381
Enrollment ID: O20120330000390

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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. 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 AddressPractice 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

News Archive

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This study examined whether prenatal exposure to valproate and other antiepileptic drugs was associated with increased risk of attention-deficit/hyperactivity disorder (ADHD) in children.

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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    

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