Charles W Tattersall, MD | |
8865 W 400 N Ste 175, Michigan City, IN 46360-9010 | |
(219) 877-2225 | |
(219) 877-2230 |
Full Name | Charles W Tattersall |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 40 Years |
Location | 8865 W 400 N Ste 175, Michigan City, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629048913 | NPI | - | NPPES |
200487840 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 01059210A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 989 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Entity Name | Vascular Interventions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770972598 PECOS PAC ID: 2062738677 Enrollment ID: O20150225002017 |
Mailing Address | Practice Location Address |
---|---|
Charles W Tattersall, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Charles W Tattersall, MD 8865 W 400 N Ste 175, Michigan City, IN 46360-9010 Ph: (219) 877-2225 |
Aaron Joseph Schneider, MD Surgery Medicare: Medicare Enrolled Practice Location: 3500 Franciscan Way Ste 3a, Michigan City, IN 46360 Phone: 219-861-8828 Fax: 219-861-8827 | |
Matthew G Troy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-879-6531 Fax: 219-878-8331 | |
Virginia Santos Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8865 W 400 N, Suite 175, Michigan City, IN 46360 Phone: 219-877-2225 Fax: 219-877-2230 | |
Danny C Sardon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1507 Wabash St, Suite 400b, Michigan City, IN 46360 Phone: 219-872-7555 Fax: 855-774-1402 | |
Bruce J Stoehr Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1507 Wabash St Ste 400d, Michigan City, IN 46360 Phone: 219-861-8828 Fax: 219-861-8827 | |
Dr. Cosmina Cristea, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 3500 Franciscan Way Ste 3a, Michigan City, IN 46360 Phone: 219-861-8828 Fax: 219-861-8827 |