Charles W Tattersall, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Chesterton, Indiana. He went to Medical College Of Ohio and graduated in 1984 and has 40 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Franciscan Physician Network and his current practice location is
261 Paul Revere Dr, Chesterton, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 877-2225.
Charles W Tattersall is licensed to practice in Indiana (license number 01059210A) 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 1629048913.
Physician's Profile
Full Name | Charles W Tattersall |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 40 Years |
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Location | 261 Paul Revere Dr, Chesterton, 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. |
Medical Education and Training:
- Charles W Tattersall attended and graduated from Medical College Of Ohio in 1984
NPI Data:
- NPI Number: 1629048913
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042279697
- Enrollment ID: I20041008000153
Medical Identifiers
Medical identifiers for Charles W Tattersall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629048913 | NPI | - | NPPES |
200487840 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 01059210A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Franciscan Physician Network | 3072790682 | 983 |
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 W Tattersall 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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Entity Name | Vascular Interventions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770972598 PECOS PAC ID: 2062738677 Enrollment ID: O20150225002017 |
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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 W Tattersall 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 W Tattersall, MD 261 Paul Revere Dr, Chesterton, IN 46304-9371 Ph: (219) 877-2225 | Charles W Tattersall, MD 261 Paul Revere Dr, Chesterton, IN 46304-9371 Ph: (219) 877-2225 |
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