Shannon Louella Bullock, is a
Case Manager/care Coordinator based in New Orleans, Louisiana. Shannon Louella Bullock is licensed to practice in * (Not Available) (license number ) and her current practice location is
10711 Vienna St, New Orleans, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(504) 813-4616.
NPI number for Shannon Louella Bullock is 1417450420 and her current mailing address is 10711 Vienna St, New Orleans, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417450420.
Healthcare Provider's Profile
Full Name | Shannon Louella Bullock |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 10711 Vienna St, New Orleans, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417450420
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 06/16/2018
Medical Identifiers
Medical identifiers for Shannon Louella Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417450420 | 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 Louella Bullock 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 Louella Bullock, 10711 Vienna St, New Orleans, LA 70127-3117 Ph: (504) 813-4616 | Shannon Louella Bullock, 10711 Vienna St, New Orleans, LA 70127 Ph: (504) 813-4616 |
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