Shannon Latrae Comery Sr, is a
Case Manager/care Coordinator based in Donaldsonville, Louisiana. Shannon Latrae Comery Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
206 Clinic Dr, Donaldsonville, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(225) 264-6670.
NPI number for Shannon Latrae Comery Sr is 1194230094 and his current mailing address is 206 Clinic Dr, Donaldsonville, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194230094.
Healthcare Provider's Profile
Full Name | Shannon Latrae Comery Sr |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 206 Clinic Dr, Donaldsonville, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194230094
- Provider Enumeration Date: 12/13/2017
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Shannon Latrae Comery Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194230094 | 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. Shannon Latrae Comery Sr 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 |
Shannon Latrae Comery Sr, 206 Clinic Dr, Donaldsonville, LA 70346-4309 Ph: (225) 264-6670 | Shannon Latrae Comery Sr, 206 Clinic Dr, Donaldsonville, LA 70346 Ph: (225) 264-6670 |
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