Lynn J Vattathara, MD is a medicare enrolled "Family Medicine" physician in Cedar Lake, Indiana. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Franciscan Physician Network and 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
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 1720668957.
Physician's Profile
| Full Name | Lynn J Vattathara |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 6831 W 133rd Ave, Cedar Lake, Indiana |
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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:
- Lynn J Vattathara graduated from medical school in 2021
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 |
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| 1720668957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 01094818A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 01094818A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Franciscan Physician Network | 3072790682 | 1041 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486 |
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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. 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 |
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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 |
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