Dr Tyler J Koivisto, DDS - Medicare Dentist in White Bear Lake, MN

Dr Tyler J Koivisto, DDS is a medicare enrolled "Dentist" provider in White Bear Lake, Minnesota. His current practice location is 1430 Highway 96, White Bear Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 426-9502.

Dr Tyler J Koivisto is licensed to practice in Minnesota (license number D13236) 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 1588002430.

Contact Information

Dr Tyler J Koivisto, DDS
1430 Highway 96,
White Bear Lake, MN 55110
(651) 426-9502
(651) 653-2158

Map and Direction




Healthcare Provider's Profile

Full NameDr Tyler J Koivisto
GenderMale
SpecialityDentist
Location1430 Highway 96, White Bear Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588002430
  • Provider Enumeration Date: 06/12/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224313879
  • Enrollment ID: I20170321002406

Medical Identifiers

Medical identifiers for Dr Tyler J Koivisto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588002430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13236 (Minnesota)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 Tyler J Koivisto allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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 J Koivisto 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 J Koivisto, DDS
1430 Highway 96,
White Bear Lake, MN 55110

Ph: (651) 426-9502
Dr Tyler J Koivisto, DDS
1430 Highway 96,
White Bear Lake, MN 55110

Ph: (651) 426-9502

Reviews and Comments


Dentist in White Bear Lake, MN

Dr. Thomas E Grzeskowiak, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1430 Highway 96, White Bear Lake, MN 55110
Phone: 651-426-9502    Fax: 651-653-2158
Dr. Charles Francis Kaminski Jr., DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4754 Washington Square, White Bear Lake, MN 55110
Phone: 651-426-9499    Fax: 651-429-6255
Scott Arthur Kron, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4706 Banning Ave, White Bear Lake, MN 55110
Phone: 651-429-3348    Fax: 651-429-3945
Dr. Kent C Gulden, D.D.S. P.A.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4437 Lake Ave S, White Bear Lake, MN 55110
Phone: 651-429-5265    Fax: 651-429-9630
Dr. Olga Ivett Castro, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4801 Highway 61 N Ste 200, White Bear Lake, MN 55110
Phone: 651-429-3535    
Jordan Dittberner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4700 White Bear Pkwy, White Bear Lake, MN 55110
Phone: 651-762-7677    
Dr. Wendy L. Sydlewski, DDS, MD.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2126 5th St, White Bear Lake, MN 55110
Phone: 651-426-9986    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.