Charles Robert Yates Jr, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Charles Robert Yates Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
3821 Southern Ave, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 946-8157.
NPI number for Charles Robert Yates Jr is 1083239735 and his current mailing address is 3821 Southern Ave, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083239735.
Healthcare Provider's Profile
Full Name | Charles Robert Yates Jr |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 3821 Southern Ave, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083239735
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/16/2020
Medical Identifiers
Medical identifiers for Charles Robert Yates Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083239735 | NPI | - | NPPES |
1285998716 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Charles Robert Yates Jr 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 |
Charles Robert Yates Jr, 3821 Southern Ave, Shreveport, LA 71106-1033 Ph: (318) 946-8157 | Charles Robert Yates Jr, 3821 Southern Ave, Shreveport, LA 71106-1033 Ph: (318) 946-8157 |
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