| Paige Charboneau, MD | |
|
1101 W Liberty St, Farmington, MO 63640-1921 | |
| (573) 705-1272 | |
| (573) 705-1216 |
| Full Name | Paige Charboneau |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1101 W Liberty St, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033748652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2024033376 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 0101277127 (Virginia) | Secondary |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Charboneau, MD Po Box 959354, Saint Louis, MO 63195-9354 Ph: (573) 705-1272 | Paige Charboneau, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 705-1272 |
Jamesy Charles Smith, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-756-6807 | |
Aditya Shrikhande, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-705-1272 Fax: 573-705-1216 | |
Vladimir Melyakov, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-760-1020 | |
Scott David Kirkley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1106 Hazel Ln, Farmington, MO 63640 Phone: 573-756-6751 Fax: 573-760-8044 |