Shaunice Wilson, is a
Case Manager/care Coordinator based in Rodessa, Louisiana. Shaunice Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
17702 Rodessa Church Rd, Rodessa, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(903) 244-0622.
NPI number for Shaunice Wilson is 1417315474 and her current mailing address is P.o. Box 5, Rodessa, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417315474.
Healthcare Provider's Profile
Full Name | Shaunice Wilson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 17702 Rodessa Church Rd, Rodessa, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417315474
- Provider Enumeration Date: 02/05/2016
- Last Update Date: 01/23/2019
Medical Identifiers
Medical identifiers for Shaunice Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417315474 | NPI | - | NPPES |
XUQ201937155 | Other | LA | BLUE CROSS AND BLUE SHIELD LOUISIANA |
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. Shaunice Wilson 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 |
Shaunice Wilson, P.o. Box 5, Rodessa, LA 71069 Ph: (903) 244-0622 | Shaunice Wilson, 17702 Rodessa Church Rd, Rodessa, LA 71069-9034 Ph: (903) 244-0622 |
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