Charles H Tatum, PHD - Medicare in San Antonio, TX

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Charles H Tatum, PHD is a medicare enrolled "Counselor - Professional" provider in San Antonio, Texas. His current practice location is 12050 Vance Jackson Rd., Bldg. 2 Suite 201, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 699-8881.

Charles H Tatum is licensed to practice in Texas (license number 8835) 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 1851317895.

Contact Information

Charles H Tatum, PHD
12050 Vance Jackson Rd., Bldg. 2 Suite 201,
San Antonio, TX 78230-1183
(210) 699-8881
(210) 699-0503

Map and Direction




Healthcare Provider's Profile

Full NameCharles H Tatum
GenderMale
SpecialityCounselor - Professional
Location12050 Vance Jackson Rd., San Antonio, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851317895
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315387693
  • Enrollment ID: I20240503000635

Medical Identifiers

Medical identifiers for Charles H Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851317895NPI-NPPES
027365801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 10968 (Texas)Secondary
106H00000XMarriage & Family Therapist 1884 (Texas)Secondary
101YP2500XCounselor - Professional 8835 (Texas)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 H Tatum 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 AddressPractice Location Address
Charles H Tatum, PHD
12050 Vance Jackson Rd, Bldg 2 Ste 201,
San Antonio, TX 78230-1183

Ph: (210) 699-8881		Charles H Tatum, PHD
12050 Vance Jackson Rd., Bldg. 2 Suite 201,
San Antonio, TX 78230-1183

Ph: (210) 699-8881

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.