Charles F Motley Pc - Medicare Primary Care in La Porte, IN

Charles F Motley Pc is a medicare enrolled primary clinic (Internal Medicine) in La Porte, Indiana. The current practice location for Charles F Motley Pc is 6916 W Johnson Rd, La Porte, Indiana. For appointments, you can reach them via phone at (219) 872-7247. The mailing address for Charles F Motley Pc is 6916 W Johnson Rd, La Porte, Indiana and phone number is (219) 872-7247.

Charles F Motley Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538401286. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 872-7247.

Contact Information

Charles F Motley Pc
6916 W Johnson Rd
La Porte
IN 46350-6548
(219) 872-7247
(219) 879-8609

Primary Care Clinic Profile

Full NameCharles F Motley Pc
SpecialityInternal Medicine
Location6916 W Johnson Rd, La Porte, Indiana
Authorized Official Name and PositionCharles F Motley (PC)
Authorized Official Contact2198727247
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles F Motley Pc
6916 W Johnson Rd
La Porte
IN 46350-6548

Ph: (219) 872-7247
Charles F Motley Pc
6916 W Johnson Rd
La Porte
IN 46350-6548

Ph: (219) 872-7247

NPI Details:

NPI Number1538401286
Provider Enumeration Date03/20/2013
Last Update Date09/24/2013

Medicare PECOS Information:

Medicare PECOS PAC ID7517101876
Medicare Enrollment IDO20130926000671

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Medical Identifiers

Medical identifiers for Charles F Motley Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538401286NPI-NPPES
100163900AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Charles F Motley Pc acts as a billing entity for following providers:
Provider NameCharles F Motley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316948789
PECOS PAC ID: 2365491982
Enrollment ID: I20050823000339

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Internal Medicine in La Porte, IN

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