Shana Mccloud, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. Her current practice location is
5011 Gate Parkway, Bldg 100 Ste 100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 512-7239.
Shana Mccloud is licensed to practice in Florida (license number 11011966) 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 1679150338.
Physician's Profile
Full Name | Shana Mccloud |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5011 Gate Parkway, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679150338
- Provider Enumeration Date: 03/26/2021
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799188520
- Enrollment ID: I20210730000996
Medical Identifiers
Medical identifiers for Shana Mccloud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679150338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | APRN11011966 (Florida) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | APRN11011966 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11011966 (Florida) | 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. Shana Mccloud allows following entities to bill medicare on her behalf.
Entity Name | Islimlipo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801409909 PECOS PAC ID: 3375962137 Enrollment ID: O20200928001710 |
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Entity Name | Advanced Healthcare Integration Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821696766 PECOS PAC ID: 3476964438 Enrollment ID: O20201123002014 |
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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. Shana Mccloud 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 |
Shana Mccloud, APRN 5011 Gate Parkway, Bldg 100 Suite 100, Jacksonville, FL 32256-0830 Ph: (904) 512-7239 | Shana Mccloud, APRN 5011 Gate Parkway, Bldg 100 Ste 100, Jacksonville, FL 32256-3225 Ph: (904) 512-7239 |
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