Lavonne M Charbonneau, PA-C is a medicare enrolled "Physician Assistant" in Rolla, North Dakota. She graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Andrews Hospital, Presentation Medical Center and her current practice location is
114 3rd St Ne, Rolla, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 477-3111.
Lavonne M Charbonneau is licensed to practice in North Dakota (license number PAC0002) 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 1700867397.
Provider's Profile
| Full Name | Lavonne M Charbonneau |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 31 Years |
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| Location | 114 3rd St Ne, Rolla, 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:
- Lavonne M Charbonneau graduated from nursing school in 1993
NPI Data:
- NPI Number: 1700867397
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 02/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 7719998160
- Enrollment ID: I20130314000080
Medical Identifiers
Medical identifiers for Lavonne M Charbonneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700867397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PAC0002 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Andrews Hospital | 4880505999 | 14 |
| Presentation Medical Center | 5991764045 | 5 |
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. Lavonne M 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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Lavonne M Charbonneau, PA-C
Po Box 699, 114 Ne 3rd St,
Rolla, ND 58367-0699
Ph: (701) 477-3111 | Lavonne M Charbonneau, PA-C
114 3rd St Ne,
Rolla, ND 58367-7137
Ph: (701) 477-3111 |
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