Dr Charles Randall Hutton, DDS is a medicare enrolled "Dentist - General Practice" provider in Winamac, Indiana. His current practice location is
201 E Adams St, Winamac, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 946-6747.
Dr Charles Randall Hutton is licensed to practice in Indiana (license number 12007612A) 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 1265545461.
Healthcare Provider's Profile
Full Name | Dr Charles Randall Hutton |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 201 E Adams St, Winamac, 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: 1265545461
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527287333
- Enrollment ID: I20150423001308
Medical Identifiers
Medical identifiers for Dr Charles Randall Hutton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265545461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12007612A (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. Dr Charles Randall Hutton 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 |
Dr Charles Randall Hutton, DDS 201 E Adams St, Winamac, IN 46996-1567 Ph: (574) 946-6747 | Dr Charles Randall Hutton, DDS 201 E Adams St, Winamac, IN 46996-1567 Ph: (574) 946-6747 |
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