Shana Mccloud, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kopa Llc and 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
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 1679150338.
Physician's Profile
| Full Name | Shana Mccloud |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 5011 Gate Parkway, Jacksonville, Florida |
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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:
- Shana Mccloud graduated from medical school in 2020
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 |
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| 207R00000X | Internal Medicine | APRN11011966 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | APRN11011966 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11011966 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kopa Llc | 5193774461 | 37 |
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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