<unavail> in Tyler, TX - Medicare Dentist

is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Tyler, Texas. The current practice location for is 2550 Elkton Trl, Tyler, Texas. For appointments, you can reach them via phone at (903) 534-1414. The mailing address for is 2550 Elkton Trl, Tyler, Texas and phone number is (903) 534-1414.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912258740. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (903) 534-1414.

Contact Information


	2550 Elkton Trl Tyler TX 75703-0594
	(903) 534-1414
	(903) 534-1415

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist
Location	2550 Elkton Trl, Tyler, Texas
Authorized Official Name and Position	Charles G Stone (OWNER/OFFICER)
Authorized Official Contact	9035341414
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2550 Elkton Trl Tyler TX 75703-0594 Ph: (903) 534-1414	2550 Elkton Trl Tyler TX 75703-0594 Ph: (903) 534-1414

NPI Details:

NPI Number	1912258740
Provider Enumeration Date	09/19/2012
Last Update Date	12/26/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	9234382284
Medicare Enrollment ID	O20121227000177

Medical Identifiers

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

Identifier	Type	State	Issuer
1912258740	NPI	-	NPPES
1206989-09	Medicaid	TX
1305898-08	Medicaid	TX
2032740-06	Medicaid	TX
3126690-03	Medicaid	TX
1206989-08	Medicaid	TX
1896953-05	Medicaid	TX
2032740-07	Medicaid	TX
1305898-09	Medicaid	TX
1896953-06	Medicaid	TX
3099020-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Brian H Stone
Provider Type	Practitioner - Maxillofacial Surgery
Provider Identifiers	NPI Number: 1265650071 PECOS PAC ID: 0345319984 Enrollment ID: I20080521000823

Provider Name	Charles G Stone
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1841219342 PECOS PAC ID: 8628124245 Enrollment ID: I20090923000813

Provider Name	Wade Ryan Barker
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1740612084 PECOS PAC ID: 0244453272 Enrollment ID: I20191127001024

Reviews and Comments

Dental Clinics in Tyler, TX

Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7916 S Broadway Ave, Ste 150, Tyler, TX 75703 Phone: 903-581-2198 Fax: 903-581-9571
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Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Rice Road, Suite 100, Tyler, TX 75703 Phone: 903-597-2201 Fax: 903-597-2282
Kim Fretty Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6989 Highlands Ln, Tyler, TX 75703 Phone: 903-561-7873
Pediatric Dentistry Of Tyler, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3607 Old Jacksonville Rd, Tyler, TX 75701 Phone: 903-595-5476
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3873 Hwy 64 W, Tyler, TX 75704 Phone: 972-869-3789

- Medicare Dental Clinic in Tyler, TX