Dr Gregory J Charboneau, EDD, BCN, BCB is a medicare enrolled "Clinical Neuropsychologist" provider in Spokane, Washington. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
3157 E. 17th Avenue, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 838-8066.
Dr Gregory J Charboneau is licensed to practice in Washington (license number WA.LIC2046) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790773463.
Healthcare Provider's Profile
| Full Name | Dr Gregory J Charboneau |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 39 Years |
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| Location | 3157 E. 17th Avenue, Spokane, Washington |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Gregory J Charboneau graduated from medical school in 1985
NPI Data:
- NPI Number: 1790773463
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 11/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 4587074414
- Enrollment ID: I20201104003106
Medical Identifiers
Medical identifiers for Dr Gregory J Charboneau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790773463 | NPI | - | NPPES |
| 80159590 | Other | | APA# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2046 (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | WA.LIC2046 (Washington) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
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 Gregory J Charboneau 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 |
|---|
Dr Gregory J Charboneau, EDD, BCN, BCB
3157 E. 17th Avenue,
Spokane, WA 99223-5136
Ph: (509) 838-8066 | Dr Gregory J Charboneau, EDD, BCN, BCB
3157 E. 17th Avenue,
Spokane, WA 99223-5136
Ph: (509) 838-8066 |
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