Tyler Don Horton, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Chapel Hill, North Carolina. His current practice location is
385 S Columbia St, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(541) 280-1590.
Tyler Don Horton is licensed to practice in * (Not Available) (license number ) 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 1104387117.
Healthcare Provider's Profile
Full Name | Tyler Don Horton |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 385 S Columbia St, Chapel Hill, North Carolina |
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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: 1104387117
- Provider Enumeration Date: 03/31/2019
- Last Update Date: 06/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799108999
- Enrollment ID: I20200707001109
Medical Identifiers
Medical identifiers for Tyler Don Horton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104387117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | TBD (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Tyler Don Horton 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 |
Tyler Don Horton, DMD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-6936 | Tyler Don Horton, DMD 385 S Columbia St, Chapel Hill, NC 27599-4917 Ph: (541) 280-1590 |
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