Mr Charles Edward Self, PA-C - Medicare Physician Assistant in Minden, LA

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Mr Charles Edward Self, PA-C is a medicare enrolled "Physician Assistant - Medical" in Minden, Louisiana. His current practice location is 1111 Homer Rd, Minden, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 377-7500.

Mr Charles Edward Self is licensed to practice in Louisiana (license number PA.A10425.RX) 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 1497741995.

Contact Information

Mr Charles Edward Self, PA-C
1111 Homer Rd,
Minden, LA 71055-3027
(318) 377-7500
(318) 377-2324

Map and Direction




Provider's Profile

Full NameMr Charles Edward Self
GenderMale
SpecialityPhysician Assistant - Medical
Location1111 Homer Rd, Minden, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497741995
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446343495
  • Enrollment ID: I20070906000584

Medical Identifiers

Medical identifiers for Mr Charles Edward Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497741995NPI-NPPES
PA.A10425.RXOtherLALA STATE PA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA.A10425.RX (Louisiana)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. Mr Charles Edward Self allows following entities to bill medicare on his behalf.
Entity NameMinden Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497986764
PECOS PAC ID: 4789720004
Enrollment ID: O20090930000103

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. Mr Charles Edward Self 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 AddressPractice Location Address
Mr Charles Edward Self, PA-C
1611 Germantown Rd,
Minden, LA 71055-1301

Ph: (318) 469-6331		Mr Charles Edward Self, PA-C
1111 Homer Rd,
Minden, LA 71055-3027

Ph: (318) 377-7500

Reviews and Comments


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Phone: 183-772-3213    
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Practice Location: 3 Medical Plaza Pl, Minden, LA 71055
Phone: 318-639-4001    Fax: 318-639-4002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.