Tyler Owens, DMD in Webb City, MO - Medicare Dentist Provider

Tyler Owens, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Webb City, Missouri. His current practice location is 3100 E Zora St, Webb City, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 228-8286.

Tyler Owens is licensed to practice in Missouri (license number 2019005272) 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 1609268861.

Contact Information

	Tyler Owens, DMD
	3100 E Zora St, Webb City, MO 64870-9770
	(417) 228-8286
	(512) 442-6074

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Owens
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	3100 E Zora St, Webb City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609268861
Provider Enumeration Date: 02/25/2015
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 6608263330
Enrollment ID: I20220428000566

Medical Identifiers

Medical identifiers for Tyler Owens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609268861	NPI	-	NPPES
201253250A	Medicaid	KS
830082149	Medicaid	MO
200715230A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6969 (Oklahoma)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	61520 (Kansas)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	106 (Oklahoma)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	2019005272 (Missouri)	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. Tyler Owens allows following entities to bill medicare on his behalf.

Entity Name	Community Health Center Of Southeast Kansas Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163

Entity Name	Building Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295350049 PECOS PAC ID: 1759706088 Enrollment ID: O20200804002331

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 Owens 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
Tyler Owens, DMD 400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619 Ph: (918) 998-0996	Tyler Owens, DMD 3100 E Zora St, Webb City, MO 64870-9770 Ph: (417) 228-8286

Reviews and Comments

Dentist in Webb City, MO

Brandon Casey Gooch, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286
Dr. Matthew S Stiles, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286
Dr. William Edward Rice, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1601 S Madison St, Webb City, MO 64870 Phone: 417-673-3011 Fax: 417-673-3011
Dr. Jeremy Lewis Egan, DMD, MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286
Dr. Dennis John Schmidt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 S Madison St Ste P, Webb City, MO 64870 Phone: 417-392-3079
Dr. Stuart Christian Mauger, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286

Tyler Owens, DMD - Medicare Dentist in Webb City, MO