Chantal I Dalencour, MD is a medicare enrolled "Pediatrics" physician in North Ridgeville, Ohio. Her current practice location is
34960 Center Ridge Rd, North Ridgeville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 353-3433.
Chantal I Dalencour is licensed to practice in Ohio (license number 35073965) 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 1265434120.
Physician's Profile
| Full Name | Chantal I Dalencour |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 34960 Center Ridge Rd, North Ridgeville, Ohio |
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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:
- Chantal I Dalencour attended and graduated from in
NPI Data:
- NPI Number: 1265434120
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Chantal I Dalencour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265434120 | NPI | - | NPPES |
| 2095021 | Medicaid | OH | |
| 370017680 | Other | OH | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35073965 (Ohio) | 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 I Dalencour 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 |
|---|
Chantal I Dalencour, MD
26908 Detroit Rd, Suite 301,
Westlake, OH 44145-2398
Ph: (440) 617-1823 | Chantal I Dalencour, MD
34960 Center Ridge Rd,
North Ridgeville, OH 44039-3183
Ph: (440) 353-3433 |
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