Charles Paul Zakutansky, FNP-C is a medicare enrolled "General Practice" physician in Highland, Indiana. His current practice location is
9030 Cline Ave, Highland, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 750-9497.
Charles Paul Zakutansky is licensed to practice in Indiana (license number 71014116A) 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 1316626146.
Physician's Profile
Full Name | Charles Paul Zakutansky |
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Gender | Male |
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Speciality | General Practice |
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Location | 9030 Cline Ave, Highland, 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: 1316626146
- Provider Enumeration Date: 07/18/2023
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355795873
- Enrollment ID: I20231002001698
Medical Identifiers
Medical identifiers for Charles Paul Zakutansky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316626146 | NPI | - | NPPES |
F04230288 | Other | | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
28245123A | Other | IN | INDIANA NURSING BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 71014116A (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. Charles Paul Zakutansky allows following entities to bill medicare on his behalf.
Entity Name | Housecall Doctors. P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396050142 PECOS PAC ID: 8022292861 Enrollment ID: O20140318001256 |
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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. Charles Paul Zakutansky 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 |
Charles Paul Zakutansky, FNP-C 2025 Cardinal Dr, Wheatfield, IN 46392-7361 Ph: (219) 241-6945 | Charles Paul Zakutansky, FNP-C 9030 Cline Ave, Highland, IN 46322-2204 Ph: (219) 750-9497 |
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