Aviae Fuller, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Aviae Fuller is licensed to practice in * (Not Available) (license number ) and her current practice location is
4718 Hearne Ave, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 828-1521.
NPI number for Aviae Fuller is 1629789920 and her current mailing address is 4718 Hearne Ave, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629789920.
Healthcare Provider's Profile
Full Name | Aviae Fuller |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 4718 Hearne Ave, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629789920
- Provider Enumeration Date: 12/07/2022
- Last Update Date: 02/15/2023
Medical Identifiers
Medical identifiers for Aviae Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629789920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Aviae Fuller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Aviae Fuller, 4718 Hearne Ave, Shreveport, LA 71108-2703 Ph: (318) 828-1521 | Aviae Fuller, 4718 Hearne Ave, Shreveport, LA 71108-2703 Ph: (318) 828-1521 |
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