Dr Ty Douglas Shafer, DDS in Southlake, TX

Dr Ty Douglas Shafer, DDS is a medicare enrolled "Dentist" provider in Southlake, Texas. His current practice location is 2000 E Northwest Pkwy, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 416-2228.

Dr Ty Douglas Shafer is licensed to practice in Texas (license number 21301) 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 1346269107.

Contact Information

	Dr Ty Douglas Shafer, DDS
	2000 E Northwest Pkwy, Southlake, TX 76092-6514
	(817) 416-2228
	(817) 421-0408

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ty Douglas Shafer
Gender	Male
Speciality	Dentist
Location	2000 E Northwest Pkwy, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346269107
Provider Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294033502
Enrollment ID: I20160419002098

Medical Identifiers

Medical identifiers for Dr Ty Douglas Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346269107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	21301 (Texas)	Primary

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 Ty Douglas Shafer 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
Dr Ty Douglas Shafer, DDS 2000 E Northwest Pkwy, Southlake, TX 76092-6514 Ph: (817) 416-2228	Dr Ty Douglas Shafer, DDS 2000 E Northwest Pkwy, Southlake, TX 76092-6514 Ph: (817) 416-2228

Reviews and Comments

Dentist in Southlake, TX

Dr. Richard Glenn Thorpe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1940 E Hwy 114, Suite #100, Southlake, TX 76092 Phone: 817-488-3000 Fax: 817-488-3017
Khaldoun F Al-ajlouni, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd, Ste 146, Southlake, TX 76092 Phone: 817-251-9333 Fax: 817-251-9320
Joseph A Bonola, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2680 East State Hwy 114, Southlake, TX 76092 Phone: 817-251-2121 Fax: 817-251-6259
Paola Andrea Arcila, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 E Southlake Blvd, Southlake, TX 76092 Phone: 817-481-7999
Dr. Michel Fares Abou-obeid, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 754 N Carroll Ave, Southlake, TX 76092 Phone: 817-488-1150 Fax: 817-488-2917
Dr. Krystyn Marie Dishaw, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1007 Ashlawn Dr, Southlake, TX 76092 Phone: 214-543-1620
Dr. Chad R Allen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 S White Chapel Blvd, Southlake, TX 76092 Phone: 817-488-3636 Fax: 817-421-2372

Dr Ty Douglas Shafer, DDS - Medicare Dentist in Southlake, TX