Ms Kodee Avery, is a
Student In An Organized Health Care Education/training Program based in Glendale, Arizona. Ms Kodee Avery is licensed to practice in * (Not Available) (license number ) and her current practice location is
8814 W Lamar Rd, Glendale, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 622-3493.
NPI number for Ms Kodee Avery is 1891501599 and her current mailing address is 8814 W Lamar Rd, Glendale, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891501599.
Provider's Profile
| Full Name | Ms Kodee Avery |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8814 W Lamar Rd, Glendale, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891501599
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Ms Kodee Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891501599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Ms Kodee Avery 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 |
|---|
Ms Kodee Avery,
8814 W Lamar Rd,
Glendale, AZ 85305-3421
Ph: (602) 622-3493 | Ms Kodee Avery,
8814 W Lamar Rd,
Glendale, AZ 85305-3421
Ph: (602) 622-3493 |
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