Dr Tyler J Holley, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Orlando, Florida. His current practice location is
207 W Gore St Ste 302, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 839-8407.
Dr Tyler J Holley is licensed to practice in Florida (license number ME144719) 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 1154760411.
Healthcare Provider's Profile
| Full Name | Dr Tyler J Holley |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 207 W Gore St Ste 302, Orlando, 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 J Holley attended and graduated from in
NPI Data:
- NPI Number: 1154760411
- Provider Enumeration Date: 06/20/2013
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tyler J Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154760411 | NPI | - | NPPES |
| 105884500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7135 (Nebraska) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN25920 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 7135 (Nebraska) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | ME144719 (Florida) | 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 J Holley 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 Tyler J Holley, MD, DDS
207 W Gore St Ste 302,
Orlando, FL 32806-1014
Ph: (407) 839-8407 | Dr Tyler J Holley, MD, DDS
207 W Gore St Ste 302,
Orlando, FL 32806-1014
Ph: (407) 839-8407 |
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