Shautoria Coleman, is a medicare enrolled "Physician Assistant" in Weaver, Alabama. She went to Morehouse School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Avant Behavioral Consultants Inc and her current practice location is
1109 Alpine Dr, Weaver, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 453-8537.
Shautoria Coleman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619665734.
Provider's Profile
| Full Name | Shautoria Coleman |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 1109 Alpine Dr, Weaver, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shautoria Coleman attended and graduated from Morehouse School Of Medicine in 2024
NPI Data:
- NPI Number: 1619665734
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577073808
- Enrollment ID: I20250606001160
Medical Identifiers
Medical identifiers for Shautoria Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619665734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Avant Behavioral Consultants Inc | 6709139975 | 14 |
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. Shautoria Coleman 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 |
|---|
Shautoria Coleman,
1109 Alpine Dr,
Weaver, AL 36277-3209
Ph: (256) 453-8537 | Shautoria Coleman,
1109 Alpine Dr,
Weaver, AL 36277-3209
Ph: (256) 453-8537 |
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