Lynn J Vattathara, MD is a medicare enrolled "Family Medicine" physician in Cedar Lake, Indiana. His current practice location is
6831 W 133rd Ave, Cedar Lake, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 374-5970.
Lynn J Vattathara is licensed to practice in Indiana (license number 01094818A) 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 1720668957.
Physician's Profile
Full Name | Lynn J Vattathara |
---|
Gender | Male |
---|
Speciality | Family Medicine |
---|
Location | 6831 W 133rd Ave, Cedar Lake, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720668957
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375063811
- Enrollment ID: I20250227000128
Medical Identifiers
Medical identifiers for Lynn J Vattathara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720668957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 01094818A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 01094818A (Indiana) | 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. Lynn J Vattathara allows following entities to bill medicare on his behalf.
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 |
---|
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. Lynn J Vattathara 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 |
Lynn J Vattathara, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Lynn J Vattathara, MD 6831 W 133rd Ave, Cedar Lake, IN 46303-8989 Ph: (219) 374-5970 |
Reviews and Comments