Lori Jill Charbonneau, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mandan, North Dakota. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Transitions Healthcare Pllc and 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 | Clinical Social Worker |
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| Experience | 26 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 graduated from medical school in 1998
NPI Data:
- NPI Number: 1700074341
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325135932
- Enrollment ID: I20071030000102
Medical Identifiers
Medical identifiers for Lori Jill Charbonneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Transitions Healthcare Pllc | 1153736160 | 2 |
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. Lori Jill Charbonneau allows following entities to bill medicare on her behalf.
| Entity Name | Transitions Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992304695
PECOS PAC ID: 1153736160
Enrollment ID: O20210224000705 |
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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. 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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