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1588661763

NPI Code Detail

MEDICARE: AMY RUBEIS CHARRON M.D.

MEDICARE: AMY RUBEIS CHARRON M.D.

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	2085R0202X	Diagnostic Radiology Physician	ME126915	FL
2	2085R0202X	Diagnostic Radiology Physician	2016-00139	NC
3	2085R0202X	Diagnostic Radiology Physician	MD426307	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	P00244569	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	707501	OTHER	PA	UPMC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	174526	OTHER	PA	UNISON - IMAGING CENTER
5	1545081	OTHER	PA	GATEWAY
6	171898	OTHER	PA	UNISON - HAMOT RADIOLOGY
7	2598989	OTHER	OH	OH MEDICAL ASSISTANCE
8	3962000	OTHER	PA	AETNA
9	02661961	OTHER	NY	NY MEDICAL ASSISTANCE
10	1068843	OTHER	WV	W. VIRGINIA WORKERS COMP
11	1740380	OTHER	PA	BLUE SHIELD
13	00027280201	OTHER	NY	UNIVERA

General Provider Information

NPI Number	:	1588661763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY RUBEIS CHARRON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 100374
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0374
Country	:	US
Telephone Number	:	352-265-0291
Fax Number	:	352-265-0279

Provider Business Practice Location Address
First Line	:	201 STATE ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16550-0002
Country	:	US
Telephone Number	:	814-877-6182
Fax Number	:	814-877-6149

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	02/23/2026

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Directions to “ AMY RUBEIS CHARRON M.D.” Practice Location

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