Dr Roger John Charboneau, DO - Medicare Orthopedic Surgery in Ada, OK

Dr Roger John Charboneau, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Ada, Oklahoma. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Chickasaw Nation Division Of Health and his current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 559-0510.

Dr Roger John Charboneau is licensed to practice in Oklahoma (license number 4037) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609862689.

Contact Information

Dr Roger John Charboneau, DO
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 559-0510
(580) 272-2715



Physician's Profile

Full NameDr Roger John Charboneau
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Roger John Charboneau graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1609862689
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 08/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6204891609
  • Enrollment ID: I20090109000197

Medical Identifiers

Medical identifiers for Dr Roger John Charboneau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609862689NPI-NPPES
200009440AMedicaidOK
611692300OtherOKOWCP
P00212246OtherOKRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 4037 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chickasaw Nation Medical CenterAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chickasaw Nation Division Of Health8426957523209

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Roger John Charboneau allows following entities to bill medicare on his behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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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 Roger John Charboneau 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 AddressPractice 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

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Orthopaedic Surgery Doctors in Ada, OK

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

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