Aviance Lasheena Cogg, in Vicksburg, MS - Medicare Counselor Provider

Aviance Lasheena Cogg, is a medicare enrolled "Counselor - Mental Health" provider in Vicksburg, Mississippi. Her current practice location is 3444 Wisconsin Ave, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 638-0031.

Aviance Lasheena Cogg is licensed to practice in Mississippi (license number PH5741) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578247565.

Contact Information

	Aviance Lasheena Cogg,
	3444 Wisconsin Ave, Vicksburg, MS 39180-5331
	(601) 638-0031
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aviance Lasheena Cogg
Gender	Female
Speciality	Counselor - Mental Health
Location	3444 Wisconsin Ave, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578247565
Provider Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2567985153
Enrollment ID: I20250324003479

Medical Identifiers

Medical identifiers for Aviance Lasheena Cogg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578247565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PH5741 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aviance Lasheena Cogg allows following entities to bill medicare on her behalf.

Entity Name	Arrow Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053990655 PECOS PAC ID: 7618319872 Enrollment ID: O20250324003373

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. Aviance Lasheena Cogg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Aviance Lasheena Cogg, 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 Ph: (601) 638-0031	Aviance Lasheena Cogg, 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 Ph: (601) 638-0031

Reviews and Comments

Counselor in Vicksburg, MS

Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Mr. Walter Lee Frazier, MCP, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1414 Cherry St, Vicksburg, MS 39180 Phone: 601-636-5703 Fax: 601-636-5739

Aviance Lasheena Cogg, - Medicare Counselor in Vicksburg, MS