Dr Tyler James Banachowski, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Tampa, Florida. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice New Image Maxillofacial Llc and his current practice location is
3250 Zemke Ave, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 827-9400.
Dr Tyler James Banachowski is licensed to practice in Florida (license number DN24505) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033484944.
Healthcare Provider's Profile
| Full Name | Dr Tyler James Banachowski |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 13 Years |
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| Location | 3250 Zemke Ave, Tampa, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyler James Banachowski attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2012
NPI Data:
- NPI Number: 1033484944
- Provider Enumeration Date: 03/12/2012
- Last Update Date: 09/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749511830
- Enrollment ID: I20220202003057
Medical Identifiers
Medical identifiers for Dr Tyler James Banachowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033484944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 9283 (North Carolina) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN24505 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New Image Maxillofacial Llc | 6800029331 | 4 |
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 Tyler James Banachowski allows following entities to bill medicare on his behalf.
| Entity Name | New Image Maxillofacial Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194767707
PECOS PAC ID: 6800029331
Enrollment ID: O20140507000700 |
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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 Tyler James Banachowski 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 Tyler James Banachowski, DDS
3250 Zemke Ave,
Tampa, FL 33621-5023
Ph: () - | Dr Tyler James Banachowski, DDS
3250 Zemke Ave,
Tampa, FL 33621
Ph: (813) 827-9400 |
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