Mrs Lisa Sue Mccloud, FNP-BC is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Williamson, West Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medexpress Urgent Care Inc West Virginia and her current practice location is
184 E 2nd Ave, Williamson, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 235-2930.
Mrs Lisa Sue Mccloud is licensed to practice in West Virginia (license number 61706) 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 1780132571.
Provider's Profile
| Full Name | Mrs Lisa Sue Mccloud |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 184 E 2nd Ave, Williamson, West Virginia |
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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:
- Mrs Lisa Sue Mccloud graduated from nursing school in 2015
NPI Data:
- NPI Number: 1780132571
- Provider Enumeration Date: 09/21/2016
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890074801
- Enrollment ID: I20161115002438
Medical Identifiers
Medical identifiers for Mrs Lisa Sue Mccloud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780132571 | NPI | - | NPPES |
| 2016009648 | Other | WV | ANCC CERTIFICATION # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | 61706 (West Virginia) | 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. Mrs Lisa Sue Mccloud allows following entities to bill medicare on her behalf.
| Entity Name | Medexpress Urgent Care Inc West Virginia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912133315
PECOS PAC ID: 1254487101
Enrollment ID: O20090918000219 |
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| Entity Name | Mccloud Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851968309
PECOS PAC ID: 9537539705
Enrollment ID: O20230104001010 |
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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. Mrs Lisa Sue 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 |
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Mrs Lisa Sue Mccloud, FNP-BC
184 East 2nd Ave,
Williamson, WV 25661
Ph: (304) 235-2930 | Mrs Lisa Sue Mccloud, FNP-BC
184 E 2nd Ave,
Williamson, WV 25661-3602
Ph: (304) 235-2930 |
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