Ebony Fuller, is a
Case Manager/care Coordinator based in Bossier City, Louisiana. Ebony Fuller is licensed to practice in * (Not Available) (license number ) and her current practice location is
52 Turnbury Dr, Bossier City, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 655-5720.
NPI number for Ebony Fuller is 1336519677 and her current mailing address is 52 Turnbury Dr, Bossier City, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336519677.
Healthcare Provider's Profile
Full Name | Ebony Fuller |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 52 Turnbury Dr, Bossier City, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336519677
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 07/29/2019
Medical Identifiers
Medical identifiers for Ebony Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336519677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Ebony 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 |
Ebony Fuller, 52 Turnbury Dr, Bossier City, LA 71111-8203 Ph: () - | Ebony Fuller, 52 Turnbury Dr, Bossier City, LA 71111-8203 Ph: (318) 655-5720 |
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