| Dr Michael Joseph Charboneau Jr, DO | |
|
730 N Macomb St, Suite 329, Monroe, MI 48162-2900 | |
| (734) 240-5860 | |
| (734) 240-5899 |
| Full Name | Dr Michael Joseph Charboneau Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 730 N Macomb St, Monroe, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619986213 | NPI | - | NPPES |
| G22695 | Other | MI | HAP |
| 11684 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 0255810524 | Other | MI | BLUE CARE NETWORD |
| 020046979 | Other | MI | RAIL ROAD MEDICARE |
| 4218443 | Medicaid | MI | |
| 0255810524 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101010247 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Jackson, MI | Home health agency |
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Monroe Physicians Pllc | 2365696176 | 58 |
| Entity Name | Promedica Central Corporation Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
| Entity Name | Mercy Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
| Entity Name | Promedica Monroe Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Joseph Charboneau Jr, DO 1 Seagate, # 800, Toledo, OH 43604-1558 Ph: (567) 585-1983 | Dr Michael Joseph Charboneau Jr, DO 730 N Macomb St, Suite 329, Monroe, MI 48162-2900 Ph: (734) 240-5860 |
Matthew Michael Fourman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St Ste 415, Monroe, MI 48162 Phone: 734-430-3200 Fax: 734-430-3201 | |
William Henry Bell Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 North Macomb Street Suite 4, Monroe, MI 48162 Phone: 734-242-7212 Fax: 734-242-7237 |