Keisha D Pugh, APRN - Medicare Nurse Practitioner in Jacksonville, FL

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Keisha D Pugh, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 800 Prudential Dr Ste 1100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 388-6518.

Keisha D Pugh is licensed to practice in Florida (license number APRN9194377) 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 1699003137.

Contact Information

Keisha D Pugh, APRN
800 Prudential Dr Ste 1100,
Jacksonville, FL 32207-8202
(904) 388-6518
(904) 384-1005

Map and Direction




Provider's Profile

Full NameKeisha D Pugh
GenderFemale
SpecialityNurse Practitioner
Location800 Prudential Dr Ste 1100, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699003137
  • Provider Enumeration Date: 11/20/2009
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002042967
  • Enrollment ID: I20131122001853

Medical Identifiers

Medical identifiers for Keisha D Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699003137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN9194377 (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. Keisha D Pugh allows following entities to bill medicare on her behalf.
Entity NamePhysical Medicine Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952343261
PECOS PAC ID: 1658335328
Enrollment ID: O20041113000028
Entity NameSolantic/south Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344378
PECOS PAC ID: 5496762171
Enrollment ID: O20060321000740
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameHma-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689812109
PECOS PAC ID: 6002955788
Enrollment ID: O20091209000716
Entity NameShands-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558595223
PECOS PAC ID: 4183764178
Enrollment ID: O20091223000343
Entity NameCarespot Of Orlando Hsi Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306367503
PECOS PAC ID: 8921372558
Enrollment ID: O20170921000186

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. Keisha D Pugh 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
Keisha D Pugh, APRN
800 Prudential Dr Fl B11,
Jacksonville, FL 32207-8202

Ph: (904) 388-6518		Keisha D Pugh, APRN
800 Prudential Dr Ste 1100,
Jacksonville, FL 32207-8202

Ph: (904) 388-6518

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.