Tyler D Dulworth, MD is a medicare enrolled "Family Medicine" physician in Goldsby, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Norman Regional Providers Primary Care and his current practice location is
117 Cotton Field Rd Ste 101, Goldsby, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 307-1000.
Tyler D Dulworth is licensed to practice in Oklahoma (license number 38333) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083237663.
Physician's Profile
| Full Name | Tyler D Dulworth |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 5 Years |
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| Location | 117 Cotton Field Rd Ste 101, Goldsby, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler D Dulworth attended and graduated from University Of Oklahoma College Of Medicine in 2021
NPI Data:
- NPI Number: 1083237663
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860924040
- Enrollment ID: I20241011003984
Medical Identifiers
Medical identifiers for Tyler D Dulworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083237663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 38333 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Norman Regional Providers Primary Care | 5496837718 | 56 |
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 D Dulworth allows following entities to bill medicare on his behalf.
| Entity Name | Norman Regional Providers Primary Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548398274
PECOS PAC ID: 5496837718
Enrollment ID: O20080125000271 |
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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 D Dulworth 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 |
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Tyler D Dulworth, MD
Po Box 1330,
Norman, OK 73070-1330
Ph: (405) 307-1000 | Tyler D Dulworth, MD
117 Cotton Field Rd Ste 101,
Goldsby, OK 73093-5050
Ph: (405) 307-1000 |
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