Dr Tyler Kellum Levie, DDS is a
Dentist based in Lafayette, Georgia. Dr Tyler Kellum Levie is licensed to practice in Georgia (license number DN015053) and his current practice location is
201 E. Villanow Street, Lafayette, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 638-2784.
NPI number for Dr Tyler Kellum Levie is 1023484805 and his current mailing address is 201 E. Villanow Street, Lafayette, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023484805.
Healthcare Provider's Profile
| Full Name | Dr Tyler Kellum Levie |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 201 E. Villanow Street, Lafayette, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023484805
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 08/17/2015
Medical Identifiers
Medical identifiers for Dr Tyler Kellum Levie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023484805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN015053 (Georgia) | 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 Tyler Kellum Levie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tyler Kellum Levie, DDS
201 E. Villanow Street,
Lafayette, GA 30728
Ph: (706) 638-2784 | Dr Tyler Kellum Levie, DDS
201 E. Villanow Street,
Lafayette, GA 30728
Ph: (706) 638-2784 |
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