Tyler Roberts, DDS in Casa Grande, AZ - Medicare Dentist Provider

Tyler Roberts, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Casa Grande, Arizona. His current practice location is 1864 E Florence Blvd Ste 1, Casa Grande, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 350-7560.

Tyler Roberts is licensed to practice in Arizona (license number D7586) 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 1982850459.

Contact Information

	Tyler Roberts, DDS
	1864 E Florence Blvd Ste 1, Casa Grande, AZ 85122-5504
	(520) 350-7560
	(520) 788-6142

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Roberts
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	1864 E Florence Blvd Ste 1, Casa Grande, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982850459
Provider Enumeration Date: 08/15/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9436385044
Enrollment ID: I20170831003043

Medical Identifiers

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

Identifier	Type	State	Issuer
1982850459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	D7586 (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. Tyler Roberts allows following entities to bill medicare on his behalf.

Entity Name	San Carlos Apache Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091

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 Roberts 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 Roberts, DDS 865 N Arizola Rd, Casa Grande, AZ 85122-6011 Ph: (520) 836-3446	Tyler Roberts, DDS 1864 E Florence Blvd Ste 1, Casa Grande, AZ 85122-5504 Ph: (520) 350-7560

Reviews and Comments

Dentist in Casa Grande, AZ

Dr. Gregory R Giordano, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 907 E Cottonwood Ln Ste 1, Kid1, Casa Grande, AZ 85122 Phone: 520-876-5431 Fax: 520-876-4875
Mr. Namninder S Grn, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 Phone: 520-836-5466 Fax: 520-836-7469
Jelena Bulatovic, Dentist Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446
Dr. Brannon Jay Gunnell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1550 E Florence Blvd Ste 4, Casa Grande, AZ 85222 Phone: 520-423-0022 Fax: 520-423-0683
Dr. Takish Ziad, Dentist Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-381-0381
James Allen Jennings, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 907 E Cottonwood Ln Ste 1, Casa Grande, AZ 85222 Phone: 520-876-5431 Fax: 520-876-4875
Nidhi A Patel, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1775 E Florence Blvd Ste 104, Ste 104, Casa Grande, AZ 85122 Phone: 520-413-3578

Tyler Roberts, DDS - Medicare Dentist in Casa Grande, AZ