Elissa J Charbonneau, DO is a
Physical Medicine & Rehabilitation physician based in Yarmouth, Maine. Elissa J Charbonneau is licensed to practice in Maine (license number 1399) and her current practice location is 24 Hawthorne Circle, Yarmouth, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 851-1724.
NPI number for Elissa J Charbonneau is 1700870201 and her current mailing address is 301 Us Route One, Building C, Scarborough, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700870201.
Physician's Profile
| Full Name | Elissa J Charbonneau |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 24 Hawthorne Circle, Yarmouth, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700870201
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 02/18/2011
Medical Identifiers
Medical identifiers for Elissa J Charbonneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700870201 | NPI | - | NPPES |
| 218640049 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1399 (Maine) | 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. Elissa J Charbonneau 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 |
|---|
Elissa J Charbonneau, DO
301 Us Route One, Building C,
Scarborough, ME 04074-9701
Ph: (207) 396-8600 | Elissa J Charbonneau, DO
24 Hawthorne Circle,
Yarmouth, ME 04096-8337
Ph: (207) 851-1724 |
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