Dr Tyler Paul Bergien, DDS - Medicare Dentist in Jackson, WY

Dr Tyler Paul Bergien, DDS is a medicare enrolled "Dentist - General Practice" provider in Jackson, Wyoming. His current practice location is 945 W Broadway, Suite #201, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 734-5200.

Dr Tyler Paul Bergien is licensed to practice in Wyoming (license number #1004) 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 1669683025.

Contact Information

Dr Tyler Paul Bergien, DDS
945 W Broadway, Suite #201,
Jackson, WY 83001
(307) 734-5200
(307) 733-2922



Healthcare Provider's Profile

Full NameDr Tyler Paul Bergien
GenderMale
SpecialityDentist - General Practice
Location945 W Broadway, Jackson, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669683025
  • Provider Enumeration Date: 05/25/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517271901
  • Enrollment ID: I20150729008414

Medical Identifiers

Medical identifiers for Dr Tyler Paul Bergien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669683025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice #1004 (Wyoming)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 Paul Bergien 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 AddressPractice Location Address
Dr Tyler Paul Bergien, DDS
945 W Broadway, Suite 201,p O Box 11779,
Jackson, WY 83001

Ph: (307) 734-5200
Dr Tyler Paul Bergien, DDS
945 W Broadway, Suite #201,
Jackson, WY 83001

Ph: (307) 734-5200

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Dentist in Jackson, WY

Dr. Veldon Ross Moser, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1115 Maple Way, Jackson, WY 83001
Phone: 307-733-7044    Fax: 307-734-1409
Dr. Michael Stern, D.M.D, PHD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1160 Alpine Ln, Suite 1d, Jackson, WY 83001
Phone: 307-739-8611    Fax: 307-739-8613
Dr. Catherine M Tebay, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1325 S. Hwy 89, Suite 107, Jackson, WY 83002
Phone: 307-734-5665    Fax: 307-734-6066
Dr. Michael J Wine, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 610 W Broadway Ave, Jackson, WY 83001
Phone: 307-732-2273    Fax: 307-732-1660
Dr. Rebecca E. Cloetta, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1315 S Hwy 89, Suite 102, Jackson, WY 83002
Phone: 307-733-4122    Fax: 307-733-4164
Dr. Nathan John Tanner, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Broadway Ave # 1190, Jackson, WY 83001
Phone: 307-733-5222    
Dr. Scott Coburn Larsen, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 245 E Broadway, Jackson, WY 83001
Phone: 307-733-4778    Fax: 307-734-8041

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