Lori Jill Charbonneau, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mandan, North Dakota. Her current practice location is
2401 46th Ave Se Ste 201, Mandan, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 699-4052.
Lori Jill Charbonneau is licensed to practice in North Dakota (license number 1526) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700074341.
Healthcare Provider's Profile
| Full Name | Lori Jill Charbonneau |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2401 46th Ave Se Ste 201, Mandan, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lori Jill Charbonneau attended and graduated from in
NPI Data:
- NPI Number: 1700074341
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lori Jill Charbonneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700074341 | NPI | - | NPPES |
| 024385 | Other | ND | BLUE CROSS BLUE SHIELD |
| 054517 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 1526 (North Dakota) | 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. Lori Jill Charbonneau 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 |
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Lori Jill Charbonneau, LICSW
3425 Heartwood Cir Se,
Mandan, ND 58554-6245
Ph: (701) 871-0490 | Lori Jill Charbonneau, LICSW
2401 46th Ave Se Ste 201,
Mandan, ND 58554-4829
Ph: (701) 699-4052 |
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