Thomas L Tyree, DDS is a medicare enrolled "Dentist - General Practice" provider in Kenova, West Virginia. His current practice location is
1702 Oak St, Kenova, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 453-6765.
Thomas L Tyree is licensed to practice in West Virginia (license number 2421) 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 1033288691.
Healthcare Provider's Profile
Full Name | Thomas L Tyree |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1702 Oak St, Kenova, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033288691
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517259997
- Enrollment ID: I20160705001087
Medical Identifiers
Medical identifiers for Thomas L Tyree such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033288691 | NPI | - | NPPES |
0136238000 | Medicaid | WV | |
0135603 | Other | WV | DENTAL PROVIDER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2421 (West Virginia) | 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. Thomas L Tyree 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 |
Thomas L Tyree, DDS 1702 Oak St, Kenova, WV 25530-1120 Ph: (304) 453-6765 | Thomas L Tyree, DDS 1702 Oak St, Kenova, WV 25530-1120 Ph: (304) 453-6765 |
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