| Dr Mark Leon Charpentier, MD | |
|
1373 E State Road 62, Madison, IN 47250-7328 | |
| (812) 801-0152 | |
| (812) 801-0150 |
| Full Name | Dr Mark Leon Charpentier |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1373 E State Road 62, Madison, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720117195 | NPI | - | NPPES |
| 200472340 | Medicaid | IN | |
| 7100294420 | Medicaid | KY |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Leon Charpentier, MD 4132 Andrew Dr, Floyds Knobs, IN 47119-9364 Ph: (502) 558-5990 | Dr Mark Leon Charpentier, MD 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0152 |
Dr. Jennifer A Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62 # Level2, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Dr. Jenna Aleea Ali, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 | |
Stephanie Nicole Morgan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2420 Wilson Ave, Madison, IN 47250 Phone: 812-292-4464 | |
Susan M Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Dr. Sarah R. Marshall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-273-5437 Fax: 812-801-8005 | |
Diamond N Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62, Level 2, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Patrick W Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 |