Dr Tyler Chance Devaughan, DDS, MS in Ada, OK - Medicare Dentist Provider

Dr Tyler Chance Devaughan, DDS, MS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Ada, Oklahoma. His current practice location is 500 N Monte Vista St Ste 1b, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 276-1834.

Dr Tyler Chance Devaughan is licensed to practice in Oklahoma (license number 0224) 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 1558625335.

Contact Information

	Dr Tyler Chance Devaughan, DDS, MS
	500 N Monte Vista St Ste 1b, Ada, OK 74820-4670
	(580) 276-1834
	(580) 559-0658

Healthcare Provider's Profile

Full Name	Dr Tyler Chance Devaughan
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	500 N Monte Vista St Ste 1b, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558625335
Provider Enumeration Date: 06/27/2012
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2961723093
Enrollment ID: I20150602000706

Medical Identifiers

Medical identifiers for Dr Tyler Chance Devaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558625335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6385 (Oklahoma)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	0224 (Oklahoma)	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 Chance Devaughan 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 Chance Devaughan, DDS, MS 500 N Monte Vista St Ste 1b, Ada, OK 74820-4670 Ph: (580) 967-1817	Dr Tyler Chance Devaughan, DDS, MS 500 N Monte Vista St Ste 1b, Ada, OK 74820-4670 Ph: (580) 276-1834

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Dentist in Ada, OK

Dr. Joshua Allen Mayo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Morgan Lee Moody, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1430 Lonnie Abbott Blvd, Ada, OK 74820 Phone: 580-279-1716
Dr. Marty Ray Scantlen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Vashti Osborn, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1430 Lonnie Abbott Blvd, Ada, OK 74820 Phone: 580-279-1716 Fax: 580-279-1591
Brandon Scott Rogers, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Benjamin Franklin Edwards Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 1801 East Arlington, Ada, OK 74820 Phone: 580-332-1660 Fax: 580-421-9009
Dr. Terry Glen Haney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4596 Fax: 580-421-4595

Dr Tyler Chance Devaughan, DDS, MS - Medicare Dentist in Ada, OK