Tyler Antonelli, DDS - Dentist in Davis-monthan Afb, AZ

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Tyler Antonelli, DDS is a Dentist based in Davis-monthan Afb, Arizona. Tyler Antonelli is licensed to practice in North Carolina (license number 11977) and his current practice location is 4175 S Alamo Ave, Davis-monthan Afb, Arizona. He can be reached at his office (for appointments etc.) via phone at (910) 619-6720.

NPI number for Tyler Antonelli is 1073133393 and his current mailing address is 4175 S Alamo Ave, Davis-monthan Afb, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073133393.

Contact Information

Tyler Antonelli, DDS
4175 S Alamo Ave,
Davis-monthan Afb, AZ 85707
(910) 619-6720
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTyler Antonelli
GenderMale
SpecialityDentist
Location4175 S Alamo Ave, Davis-monthan Afb, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073133393
  • Provider Enumeration Date: 04/17/2020
  • Last Update Date: 09/20/2021

Medical Identifiers

Medical identifiers for Tyler Antonelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073133393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 11977 (North Carolina)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. Tyler Antonelli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler Antonelli, DDS
4175 S Alamo Ave,
Davis-monthan Afb, AZ 85707

Ph: (910) 619-6720		Tyler Antonelli, DDS
4175 S Alamo Ave,
Davis-monthan Afb, AZ 85707

Ph: (910) 619-6720

Reviews and Comments


Dentist in Davis-monthan Afb, AZ

Alexa Bergren, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707
Phone: 520-228-2650    
Dr. Brett Myungsoo Chung, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4175 S. Alamo Ave, Davis-monthan Afb, AZ 85707
Phone: 520-228-2792    
Dr. Daniel Cooper Lee Jr., DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4175 S. Alamo Ave, Bldg 400, Davis-monthan Afb, AZ 85707
Phone: 520-228-2999    

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.