Mr Charles Edward Self, PA-C is a medicare enrolled "Physician Assistant - Medical" in Minden, Louisiana. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Chess Group Llc and 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
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 1497741995.
Provider's Profile
Full Name | Mr Charles Edward Self |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 25 Years |
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Location | 1111 Homer Rd, Minden, Louisiana |
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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:
- Mr Charles Edward Self graduated from nursing school in 1999
NPI Data:
- NPI Number: 1497741995
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 07/09/2007
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.
Identifier | Type | State | Issuer |
1497741995 | NPI | - | NPPES |
PA.A10425.RX | Other | LA | LA STATE PA LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA.A10425.RX (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Chess Group Llc | 2466714563 | 2 |
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 Address | Practice 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 |
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