Dr Luke Ryan Tibbitts, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Austin, Texas. His current practice location is
901 W 38th St Ste 410, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 992-1378.
Dr Luke Ryan Tibbitts is licensed to practice in Texas (license number 38316) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013448885.
Healthcare Provider's Profile
| Full Name | Dr Luke Ryan Tibbitts |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 901 W 38th St Ste 410, Austin, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013448885
- Provider Enumeration Date: 03/23/2017
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355612078
- Enrollment ID: I20231115000289
Medical Identifiers
Medical identifiers for Dr Luke Ryan Tibbitts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013448885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9954 (Kentucky) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 38316 (Texas) | 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. Dr Luke Ryan Tibbitts allows following entities to bill medicare on his behalf.
| Entity Name | Seton Oral & Maxillofacial Surgery |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124598917
PECOS PAC ID: 7113951377
Enrollment ID: O20190129001320 |
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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. Dr Luke Ryan Tibbitts 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 Address | Practice Location Address |
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Dr Luke Ryan Tibbitts, DDS
901 W 38th St Ste 410,
Austin, TX 78705-1162
Ph: () - | Dr Luke Ryan Tibbitts, DDS
901 W 38th St Ste 410,
Austin, TX 78705-1162
Ph: (512) 992-1378 |
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