Chantal Marie Gougeon, APRN is a
Nurse Practitioner based in Clinton, Montana. Chantal Marie Gougeon is licensed to practice in Montana (license number NUR-APRN-LIC-218334) and her current practice location is
15515 Kendall Creek Rd, Clinton, Montana. She can be reached at her office (for appointments etc.) via phone at
(702) 466-2495.
NPI number for Chantal Marie Gougeon is 1467221465 and her current mailing address is 8121 Bear Clan Ct, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467221465.
Provider's Profile
Full Name | Chantal Marie Gougeon |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 15515 Kendall Creek Rd, Clinton, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467221465
- Provider Enumeration Date: 01/02/2024
- Last Update Date: 01/02/2024
Medical Identifiers
Medical identifiers for Chantal Marie Gougeon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467221465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | NUR-APRN-LIC-218334 (Montana) | 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. Chantal Marie Gougeon 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 |
Chantal Marie Gougeon, APRN 8121 Bear Clan Ct, Las Vegas, NV 89131-1455 Ph: () - | Chantal Marie Gougeon, APRN 15515 Kendall Creek Rd, Clinton, MT 59825-9708 Ph: (702) 466-2495 |
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