Mr Eugene G Charbonneau, DO is a
Family Medicine physician based in Hosford, Florida. Mr Eugene G Charbonneau is licensed to practice in Florida (license number OS7759) and his current practice location is 17316 Ne State Road 65, Hosford, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 379-5800.
NPI number for Mr Eugene G Charbonneau is 1770587420 and his current mailing address is 17316 Ne State Road 65, Hosford, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770587420.
Physician's Profile
| Full Name | Mr Eugene G Charbonneau |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 17316 Ne State Road 65, Hosford, Florida |
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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: 1770587420
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 03/02/2017
Medical Identifiers
Medical identifiers for Mr Eugene G Charbonneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770587420 | NPI | - | NPPES |
| 2586282 | Medicaid | FL | |
| 258628200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS7759 (Florida) | 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. Mr Eugene G 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 |
|---|
Mr Eugene G Charbonneau, DO
17316 Ne State Road 65,
Hosford, FL 32334-2415
Ph: (850) 379-5800 | Mr Eugene G Charbonneau, DO
17316 Ne State Road 65,
Hosford, FL 32334-2415
Ph: (850) 379-5800 |
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