| Eugene Mr Charlebois, DO | |
|
3700 W State Route 89a, Sedona, AZ 86336-4937 | |
| (928) 204-4100 | |
| (928) 639-6682 |
| Full Name | Eugene Mr Charlebois |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3700 W State Route 89a, Sedona, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356345383 | NPI | - | NPPES |
| 546268 | Medicaid | AZ | |
| 33604099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 007862 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 1674 (Maine) | Secondary |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Mr Charlebois, DO 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Eugene Mr Charlebois, DO 3700 W State Route 89a, Sedona, AZ 86336-4937 Ph: (928) 204-4100 |
Jennifer Roper, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 | |
Dr. Gladys Helena Lopez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 | |
Dr. Ioana Irime, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 Fax: 928-204-4115 | |
Dr. Johnathon R Munoz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 Fax: 928-204-4115 | |
Dr. Nathaniel George Grubbs, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 Fax: 928-204-4115 | |
Nicholas C Kanaan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 W State Route 89a, Sedona, AZ 86336 Phone: 928-204-4100 |