Patrica Shackleford, PHD is a
Counselor - Mental Health based in Melrose, Florida. Patrica Shackleford is licensed to practice in Florida (license number MH5805) and her current practice location is
2380 Se County Road 21b, Melrose, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 475-3311.
NPI number for Patrica Shackleford is 1316361801 and her current mailing address is 2380 Se County Road 21b, Melrose, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316361801.
Healthcare Provider's Profile
| Full Name | Patrica Shackleford |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 2380 Se County Road 21b, Melrose, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316361801
- Provider Enumeration Date: 02/05/2014
- Last Update Date: 02/05/2014
Medical Identifiers
Medical identifiers for Patrica Shackleford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316361801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH5805 (Florida) | Primary |
| 103TS0200X | Psychologist - School | SS 475 (Florida) | Secondary |
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. Patrica Shackleford 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 |
|---|
Patrica Shackleford, PHD
2380 Se County Road 21b,
Melrose, FL 32666-5113
Ph: (352) 475-3311 | Patrica Shackleford, PHD
2380 Se County Road 21b,
Melrose, FL 32666-5113
Ph: (352) 475-3311 |
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