Robert Tyler Swanson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
475 Vine St, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-1066.
Robert Tyler Swanson is licensed to practice in North Carolina (license number RTL24-0746) 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 1710448634.
Physician's Profile
Full Name | Robert Tyler Swanson |
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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 | 475 Vine St, Winston Salem, 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: 1710448634
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658797626
- Enrollment ID: I20200820003003
Medical Identifiers
Medical identifiers for Robert Tyler Swanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710448634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0700X | Radiology - Neuroradiology | RTL24-0746 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RTL24-0746 (North Carolina) | 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. Robert Tyler Swanson 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 |
Robert Tyler Swanson, 475 Vine St, Winston Salem, NC 27101-4135 Ph: () - | Robert Tyler Swanson, 475 Vine St, Winston Salem, NC 27101-4135 Ph: (336) 716-1066 |
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