Charles W Tattersall, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Chesterton, Indiana. His current practice location is
261 Paul Revere Dr, Chesterton, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 877-2225.
Charles W Tattersall is licensed to practice in Indiana (license number 01059210A) 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 1629048913.
Physician's Profile
| Full Name | Charles W Tattersall |
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| Gender | Male |
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| Speciality | Surgery - Vascular Surgery |
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| Location | 261 Paul Revere Dr, Chesterton, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629048913
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042279697
- Enrollment ID: I20041008000153
Medical Identifiers
Medical identifiers for Charles W Tattersall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629048913 | NPI | - | NPPES |
| 200487840 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0129X | Surgery - Vascular Surgery | 01059210A (Indiana) | 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. Charles W Tattersall 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 |
Charles W Tattersall, MD 261 Paul Revere Dr, Chesterton, IN 46304-9371 Ph: (219) 877-2225 | Charles W Tattersall, MD 261 Paul Revere Dr, Chesterton, IN 46304-9371 Ph: (219) 877-2225 |
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