MEDICARE: ALBERT EUGENE CHARRON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD426949	PA
2	207Q00000X	Family Medicine Physician	MD426949	PA
3	207Q00000X	Family Medicine Physician	ME127208	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	P00310036	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	489732	OTHER	PA	BLUE SHIELD
2	00027311601	OTHER	NY	UNIVERA
3	1068852	OTHER	WV	WEST VIRGINIA WORK COMP
4	1546470	OTHER	PA	GATEWAY
5	3953000	OTHER	PA	AETNA
6	02702716	OTHER	NY	NY MEDICAL ASSISTANCE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	171877	OTHER	NY	UNISON
9	707502	OTHER	PA	UPMC
10	2581880	OTHER	OH	OH MEDICAL ASSISTANCE
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437158409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT EUGENE CHARRON MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	5504 PINEBROOK RD
Second Line	:
City	:	NOKOMIS
State	:	FL
Zip	:	34275-3672
Country	:	US
Telephone Number	:	941-218-6200
Fax Number	:	941-218-6182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	04/01/2024

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