Dr Mason Robert Tyler, DO in Cannon Afb, AA - Medicare Family Medicine

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.

Contact Information

	Dr Mason Robert Tyler, DO
	224 W D. L. Ingram Ave, Cannon Afb, AA 88103
	(575) 784-2778
	Not Available

Physician's Profile

Full Name	Dr Mason Robert Tyler
Gender	Male
Speciality	Family Medicine
Location	224 W D. L. Ingram Ave, Cannon Afb, Armed Forces Americas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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
1124518162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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
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

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Dr Mason Robert Tyler, DO - Medicare Family Medicine in Cannon Afb, AA