Dr Charles M Plourde, OD is a medicare enrolled "Optometrist - Low Vision Rehabilitation" provider in Van Buren, Maine. His current practice location is
67 Main St, Van Buren, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 868-3341.
Dr Charles M Plourde is licensed to practice in Maine (license number OPT656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619028115.
Healthcare Provider's Profile
| Full Name | Dr Charles M Plourde |
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| Gender | Male |
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| Speciality | Optometrist - Low Vision Rehabilitation |
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| Location | 67 Main St, Van Buren, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619028115
- Provider Enumeration Date: 01/13/2007
- Last Update Date: 01/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365483815
- Enrollment ID: I20050516000529
Medical Identifiers
Medical identifiers for Dr Charles M Plourde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619028115 | NPI | - | NPPES |
| 111810000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | OPT656 (Maine) | Primary |
| 152W00000X | Optometrist | OPT656 (Maine) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles M Plourde is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Charles M Plourde, OD 67 Main St, P.o. Box 300, Van Buren, ME 04785-1028 Ph: (207) 868-3341 | Dr Charles M Plourde, OD 67 Main St, Van Buren, ME 04785-1028 Ph: (207) 868-3341 |
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