| Dr Roger John Charboneau, DO | |
|
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
| (580) 559-0510 | |
| (580) 272-2715 |
| Full Name | Dr Roger John Charboneau |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 1921 Stonecipher Dr, Ada, Oklahoma |
| 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 |
|---|---|---|---|
| 1609862689 | NPI | - | NPPES |
| 200009440A | Medicaid | OK | |
| 611692300 | Other | OK | OWCP |
| P00212246 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 4037 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chickasaw Nation Medical Center | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chickasaw Nation Division Of Health | 8426957523 | 217 |
| Entity Name | Chickasaw Nation Division Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger John Charboneau, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 559-0510 | Dr Roger John Charboneau, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 559-0510 |
Dr. Michael Cody Curry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 919 Colony Dr, Ada, OK 74820 Phone: 580-235-0299 Fax: 580-235-0297 | |
Dr. Michael P Giovan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3101 Arlington St # B, Ada, OK 74820 Phone: 580-332-9100 Fax: 580-332-8554 |