Charles Henry Potter, MD is a
Emergency Medicine physician based in Fallon, Nevada. Charles Henry Potter is licensed to practice in Nevada (license number 6041) and his current practice location is 801 East Williams Avenue, Fallon, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 423-3151.
NPI number for Charles Henry Potter is 1487705125 and his current mailing address is 1441 North 12th Street, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487705125.
Physician's Profile
| Full Name | Charles Henry Potter |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 801 East Williams Avenue, Fallon, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487705125
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 05/19/2008
Medical Identifiers
Medical identifiers for Charles Henry Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487705125 | NPI | - | NPPES |
| 200720013 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 6041 (Nevada) | 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. Charles Henry Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Henry Potter, MD
1441 North 12th Street,
Phoenix, AZ 85006
Ph: (602) 495-4577 | Charles Henry Potter, MD
801 East Williams Avenue,
Fallon, NV 89406
Ph: (775) 423-3151 |
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