Dr Charles Pittle Dpm Pllc is a medicare enrolled "Clinic/center - Podiatric" provider in El Paso, Texas. Their current practice location is
1225 E Cliff Dr, Suite 2a, El Paso, Texas. You can reach out to their office (for appointments etc.) via phone at
(915) 598-3338.
Dr Charles Pittle Dpm Pllc is licensed to practice in Texas (license number 1643) and it also participates in the medicare program. Dr Charles Pittle Dpm Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063790038.
Healthcare Provider's Profile
| Full Name | Dr Charles Pittle Dpm Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Podiatric |
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| Location | 1225 E Cliff Dr, El Paso, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063790038
- Provider Enumeration Date: 07/25/2011
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032383831
- Enrollment ID: O20111112000061
Medical Identifiers
Medical identifiers for Dr Charles Pittle Dpm Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063790038 | NPI | - | NPPES |
| 1643 | Other | TX | DPM LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QP1100X | Clinic/center - Podiatric | 1643 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr Charles Pittle Dpm Pllc acts as a billing entity for following providers:
| Provider Name | Charles I Pittle |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1750352449
PECOS PAC ID: 8224132832
Enrollment ID: I20110124000957 |
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| Provider Name | Amy Kathleen Bodart |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1447592464
PECOS PAC ID: 9436381969
Enrollment ID: I20160920000231 |
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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. Dr Charles Pittle Dpm Pllc 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 |
|---|
Dr Charles Pittle Dpm Pllc
1225 E Cliff Dr, Suite 2a,
El Paso, TX 79902-4732
Ph: (915) 598-3338 | Dr Charles Pittle Dpm Pllc
1225 E Cliff Dr, Suite 2a,
El Paso, TX 79902-4732
Ph: (915) 598-3338 |
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