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Direct Primary CareFamily Medicine

Tidepool Family Medicine

Quick Facts

Membership Price Range$75/mo Child (under 21) | $150/mo Adult | $400/mo Family (up to 2 adults and 3 children under 21). One-time enrollment fee of $100/person (max $250 for families); waived for existing patients of Dr. Marvinsmith.
Practice TypeDirect Primary Care
LocationSeacoast of New Hampshire, Seacoast of Maine, Rye, NH
DoctorsBridget Marvinsmith MD, Family Medicine
Year Founded2024
Panel Size300 patients per doctor
Telehealth TypeVideo visits through secure platforms
Telehealth AvailableYes

About

At Tidepool Family Medicine, Dr. Bridget Marvinsmith delivers comprehensive primary care to families across the Seacoast of New Hampshire and Maine. She founded the practice in 2024, drawing on nearly a decade of serving this community. Her approach blends evidence-based medicine with individualized attention to each patient's circumstances and goals. She caps her panel at 300 patients, allowing visits that run 30 to 90 minutes without co-pays. The practice welcomes patients aged 2 and older, including Medicare patients. Members reach Dr. Marvinsmith directly by phone, text, or email, and can typically get a same-day or next-day appointment. Telehealth visits are included in the flat monthly membership fee. Tidepool handles about 80 percent of health concerns in-house, with a wide range of on-site services spanning preventive care, chronic condition management, well woman care, minor procedures, and discounted lab testing through Quest. The practice is an LGBTQ-welcoming environment and operates out of an ADA-accessible office in Rye, NH.

Details

Address

216 Lafayette Rd, Unit 103, Rye, NH 03870

Membership

$150/monthly

Membership Details

Monthly flat fee covers comprehensive primary care. Child (under 21): $75/month. Adult: $150/month. Family: $400/month. One-time enrollment fee of $100 per person (maximum $250 for families). Single Parent + Children discounts available upon inquiry. No co-pays, no hidden fees.

Typical Appointment

60 minutes

Telemedicine Same-Day Appointments Max 300 patients per doctor

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Frequently Asked Questions

Tidepool Family Medicine charges $75 per month for children under 21, $150 per month for adults, and $400 per month for a family of up to two adults and three children. A one-time enrollment fee of $100 per person applies, with a maximum of $250 for families. Single-parent households may inquire about available discounts. There are no co-pays and no hidden fees.

Membership covers comprehensive primary care with no co-pays, including annual physicals, preventive care, and chronic condition management. Members receive up to 24 visits per year, with appointments running 30 to 90 minutes. Telehealth visits, after-hours access, and direct contact with Dr. Marvinsmith by phone, text, or email are all included. In-office lab tests and procedures such as EKGs, skin biopsies, joint injections, and wart treatment are also part of the membership.

No. Tidepool Family Medicine does not accept or bill insurance for primary care services. The practice charges a flat monthly membership fee instead. Dr. Marvinsmith recommends members keep insurance for catastrophic needs like hospitalization. High-deductible plans pair particularly well with this model.

Enrollment is currently closed due to high demand. The practice halted new memberships in April 2025 to maintain care quality for current members. Prospective patients can add their name to the waitlist to receive notice when new spots open.

Yes. Tidepool Family Medicine typically offers same-day or next-day appointments for members. Members can schedule through the AkuteHealth patient portal or by calling or texting the practice directly.

Yes. Dr. Marvinsmith offers video visits through secure telehealth platforms. Telehealth is included in the flat monthly membership fee at no extra cost.

The practice accepts patients aged 2 and older. Dr. Marvinsmith provides care for children, adolescents, and adults, making Tidepool a practical option for entire households under one membership.

Dr. Marvinsmith resolves about 80 percent of health concerns in-house. When a specialist referral is necessary, she coordinates and helps expedite the process. Members may see any specialist they prefer, and Dr. Marvinsmith collaborates with local specialists to maintain continuity of care.

Yes. Tidepool Family Medicine welcomes Medicare patients. The practice does not bill Medicare for primary care services, so members pay the standard monthly fee. Medicare coverage remains available for outside services such as specialist visits and hospital care.

Members reach Dr. Marvinsmith directly by phone, text, or email. The AkuteHealth patient portal handles scheduling, prescription requests, referral requests, and non-urgent questions. For urgent matters, members can text or call the practice line directly. Dr. Marvinsmith responds within the same business day or by the next business morning for after-hours messages.

Practice last updated June 11, 2026