Dr Jean Corriveau, is a
Dentist - General Practice based in Chatham, Illinois. Dr Jean Corriveau is licensed to practice in Illinois (license number 19013801) and his current practice location is
1209 N. Main St., Chatham, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 483-5019.
NPI number for Dr Jean Corriveau is 1962518860 and his current mailing address is Po Box 303, Chatham, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962518860.
Healthcare Provider's Profile
| Full Name | Dr Jean Corriveau |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 1209 N. Main St., Chatham, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962518860
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jean Corriveau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962518860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 19013801 (Illinois) | 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. Dr Jean Corriveau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jean Corriveau,
Po Box 303,
Chatham, IL 62629
Ph: (217) 483-5019 | Dr Jean Corriveau,
1209 N. Main St.,
Chatham, IL 62629
Ph: (217) 483-5019 |
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