Latasha Yvette Mcclellan, RN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Jacksonville, FL

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Latasha Yvette Mcclellan, RN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 5776 Saint Augustine Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 487-0800.

Latasha Yvette Mcclellan is licensed to practice in Florida (license number APRN11019091) 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 1871101691.

Contact Information

Latasha Yvette Mcclellan, RN, APRN, PMHNP-BC
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046
(386) 487-0800
Not Available

Map and Direction




Provider's Profile

Full NameLatasha Yvette Mcclellan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5776 Saint Augustine Rd, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871101691
  • Provider Enumeration Date: 07/17/2020
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597144568
  • Enrollment ID: I20220622000574

Medical Identifiers

Medical identifiers for Latasha Yvette Mcclellan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871101691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9452093 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11019091 (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. Latasha Yvette Mcclellan allows following entities to bill medicare on her behalf.
Entity NameMcr Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213
Entity NameAgape Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962867762
PECOS PAC ID: 3476500695
Enrollment ID: O20050331000177
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20200416000590
Entity NameAssured Psychiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023876372
PECOS PAC ID: 6002256435
Enrollment ID: O20240501003537

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. Latasha Yvette Mcclellan 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 AddressPractice Location Address
Latasha Yvette Mcclellan, RN, APRN, PMHNP-BC
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046

Ph: (904) 448-4700		Latasha Yvette Mcclellan, RN, APRN, PMHNP-BC
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046

Ph: (386) 487-0800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.