Dr Tyleigh Rain Davidson, DMD in Ganado, AZ

Dr Tyleigh Rain Davidson, DMD is a medicare enrolled "Dentist" provider in Ganado, Arizona. She went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2024 and has 1 years of diverse experience with area of expertise as Dentist. Her current practice location is Po Box 457, Ganado, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 755-4850.

Dr Tyleigh Rain Davidson is licensed to practice in Arizona (license number D012156) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558101501.

Contact Information

	Dr Tyleigh Rain Davidson, DMD
	Po Box 457, Ganado, AZ 86505-0457
	(928) 755-4850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyleigh Rain Davidson
Gender	Female
Speciality	Dentist
Experience	1 Years
Location	Po Box 457, Ganado, Arizona
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyleigh Rain Davidson attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2024

NPI Data:

NPI Number: 1558101501
Provider Enumeration Date: 05/28/2024
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1850834086
Enrollment ID: I20250603002143

Medical Identifiers

Medical identifiers for Dr Tyleigh Rain Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558101501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D012156 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyleigh Rain Davidson allows following entities to bill medicare on her behalf.

Entity Name	Gila River Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648

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 Tyleigh Rain Davidson 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 Tyleigh Rain Davidson, DMD 6931 W Del Rio St, Chandler, AZ 85226-1696 Ph: (740) 644-0474	Dr Tyleigh Rain Davidson, DMD Po Box 457, Ganado, AZ 86505-0457 Ph: (928) 755-4850

Reviews and Comments

Dentist in Ganado, AZ

Kiram Yeo Tung, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 191 Az-264, Ganado, AZ 86505 Phone: 928-755-4861
Dr. Charles H. Vanderpool, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 And Junction 191 S, Ganado, AZ 86505 Phone: 928-755-4500 Fax: 928-755-4815
Vivian Diep, DMD Dentist Medicare: Medicare Enrolled Practice Location: 191 Az-264, Ganado, AZ 86505 Phone: 928-755-4500
Chandara Im, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Arizona 264, Sage Memorial Hospital, Ganado, AZ 86505 Phone: 928-755-4500

Dr Tyleigh Rain Davidson, DMD - Medicare Dentist in Ganado, AZ