Dr Mason Robert Tyler, DO is a medicare enrolled "Family Medicine" physician in Cannon Afb, Armed Forces Americas. His current practice location is
224 W D. L. Ingram Ave, Cannon Afb, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at
(575) 784-2778.
Dr Mason Robert Tyler is licensed to practice in Nebraska (license number 2372) 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 1124518162.
Physician's Profile
| Full Name | Dr Mason Robert Tyler |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 224 W D. L. Ingram Ave, Cannon Afb, Armed Forces Americas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124518162
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527315563
- Enrollment ID: I20180720002108
Medical Identifiers
Medical identifiers for Dr Mason Robert Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124518162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2372 (Nebraska) | 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 Mason Robert Tyler 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 |
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Dr Mason Robert Tyler, DO
502 E Monroe St,
Rapid City, SD 57701-1400
Ph: (605) 755-4060 | Dr Mason Robert Tyler, DO
224 W D. L. Ingram Ave,
Cannon Afb, AA 88103
Ph: (575) 784-2778 |